Individual
SUSAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
42012 TIMBER RIDGE RD, HOWE, OK 74940-3612
(918) 653-3135
(918) 647-2181
Mailing address
42012 TIMBER RIDGE RD, HOWE, OK 74940-3612
(918) 653-3135
(918) 647-2181
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20226970
—
OK
Enumeration date
09/17/2012
Last updated
09/17/2012
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