Individual provider · Type 1 NPI
Wanda Davenport Odibo
Professional Counselor · Lancaster, TX
NPI number
1033390604
Active
Practice location
1431 Daisy Dr
Lancaster, TX 75134-1635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 15391 (TX) |
Professional Counselor: Definition to come...
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About NPI 1033390604
Wanda Davenport Odibo's National Provider Identifier is 1033390604, issued on Nov 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lancaster, TX. The record was last updated on Nov 23, 2007.