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Individual

SHAMIRA JANELL POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 S MOUNT JULIET RD STE 235-118, MT JULIET, TN 37122-6359
(703) 506-0123
Mailing address
1335 BRADYVILLE PIKE APT D108, MURFREESBORO, TN 37130-5675
(161) 576-1887

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/11/2022
Last updated
05/15/2022
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