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Mrs. Kimberly Odom
Speech-Language Assistant in Loganville, Georgia
NPI 1073083564

Kimberly Odom is a Speech-Language Assistant based in Loganville, GA and is specialized in Speech-Language Assistant. Kimberly Odom practices in Loganville, GA. The NPI Number for Kimberly Odom is 1073083564 and holds a License No. 000369 (Georgia).

The current practice location address for Kimberly Odom is 2602 White Rose Dr, Loganville, GA and can be reached out via phone at 404-644-2006.

Location: 2602 White Rose Dr, Loganville, GA, 30052-2196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073083564
Provider Name
Kimberly Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
2602 White Rose Dr, Loganville, GA, 30052-2196
Phone Number
404-644-2006
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2602 White Rose Dr
City
Loganville
State
Georgia
Zip
30052-2196
Phone Number
404-644-2006
Fax Number
person
Provider Business Mailing Address Details
Address
2602 White Rose Dr
City
Loganville
State
Georgia
Zip
30052-2196
Phone Number
404-644-2006
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
000369 (Georgia)
Definition
Definition to come...
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