Odom, Leabory

Odom, Leabory is an individual health care provider with primary practice located at 644 E Jefferson Ave , Bastrop LA 71220. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Odom, Leabory can be contacted via phone (903) 503-8372.

Contact Information

Primary practice address
644 E Jefferson Ave Bastrop LA 71220
Phone: (903) 503-8372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1699147058
LBN Legal business name Odom, Leabory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2015
Last updated May 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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