Individual
ELLEN RAQUEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 NW MYHRE RD # 101, SILVERDALE, WA 98383-7669
(360) 328-5054
Mailing address
2430 NW MYHRE RD # 101, SILVERDALE, WA 98383-7669
(360) 328-5054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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