Myranda Danielle Odom

NPI #1891576484 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1891576484
Entity Type: Individual
Name: Myranda Danielle Odom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 10, 2023
Last Updated: Jun 17, 2025

Practice Location

Address: 3001 WARRIOR LN
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-8685
Phone: (573) 686-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Social Worker	104100000X	Primary

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