LEABORY ODOM I

Case Manager/Care Coordinator

Active Individual
NPI: 1699147058

Practice Address

644 E JEFFERSON AVE
Bastrop, LA 71220

Phone: (903) 503-8372

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -
Behavior Analyst 103K00000X No -

Frequently Asked Questions

NPI 1699147058 is the National Provider Identifier for LEABORY ODOM I, a Case Manager/Care Coordinator provider located in Bastrop, LA. This NPI was enumerated on October 26, 2015.
LEABORY ODOM I practices at 644 E JEFFERSON AVE, Bastrop, LA 71220.

Quick Facts

NPI
1699147058
Type
Individual
Enumerated
Oct 26, 2015
Last Updated
May 22, 2018

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