Most Relevant Information
Provider Data
| NPI Number: | 1003236639 |
| Provider Name: | NIJOKU ODOM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2014 |
| Last Updated: | 04/22/2014 |
Provider Practice Location
2711 COLONIAL DR
COLUMBIA
SC
292036818
Practice Location Phone/Fax
| Phone: | 8037269351 |
| Fax: |
Provider Mailing Location
2711 COLONIAL DR
COLUMBIA
SC
292036818
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |