Individual
CARLA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101
Mailing address
109 FORD STREET, OGDENSBURG, NY 13669
(315) 394-0101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
164W00000X
Licensed Practical Nurse
150070-1
NY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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