Individual
FAYE ANTIONETTE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6820
(918) 342-2080
(918) 342-0075
Mailing address
8023 S WHEELING AVE APT D, TULSA, OK 74136-5233
(912) 604-1770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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