Individual
CONNIE J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10045 N STATE ROAD 27, HAYWARD, WI 54843-3525
(715) 373-0160
(715) 373-0162
Mailing address
PO BOX 1062, HAYWARD, WI 54843-1062
(715) 373-0160
(715) 373-0162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
399-226
WI
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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