Individual
MS. HALLA R POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
PO BOX 386, 2 WICKERSHAM DRIVE, MANGUM, OK 73554-0386
(580) 782-3337
(580) 782-3338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
22962
OK
Other
Enumeration date
07/06/2010
Last updated
11/15/2010
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