Individual
DAVESHIA S POWELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
920 N 37TH ST APT 7, MILWAUKEE, WI 53208-3103
(414) 526-1238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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