Individual
LAINEY ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 FLOYD ST, BAXLEY, GA 31513-0923
(912) 237-2195
Mailing address
124 E JARMAN ST STE B, HAZLEHURST, GA 31539-6133
(912) 375-2009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007271
GA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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