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Mrs. Wanda Davenport Odibo
Professional Counselor in Lancaster, Texas
NPI 1033390604

Wanda Davenport Odibo is a Professional Counselor based in Lancaster, TX and is specialized in Professional. Wanda Davenport Odibo practices in Lancaster, TX. The NPI Number for Wanda Davenport Odibo is 1033390604 and holds a License No. 15391 (Texas).

The current practice location address for Wanda Davenport Odibo is 1431 Daisy Dr, Lancaster, TX and can be reached out via phone at 972-948-8314.

Location: 1431 Daisy Dr, Lancaster, TX, 75134-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033390604
Provider Name
Wanda Davenport Odibo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1431 Daisy Dr, Lancaster, TX, 75134-1635
Phone Number
972-948-8314
Fax Number
Provider Enumeration Date
11/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1431 Daisy Dr
City
Lancaster
State
Texas
Zip
75134-1635
Phone Number
972-948-8314
Fax Number
person
Provider Business Mailing Address Details
Address
1431 Daisy Dr
City
Lancaster
State
Texas
Zip
75134-1635
Phone Number
972-948-8314
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
15391 (Texas)
Definition
Definition to come...
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