Individual
KELLI POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W E AVE, ELK CITY, OK 73644-2453
(580) 243-9776
Mailing address
1510 W E AVE, ELK CITY, OK 73644-2453
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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