Individual
MRS. KIMBERLY DAWN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1749 HEWITT RD, WILSON, OK 73463-1875
(580) 490-9750
Mailing address
1749 HEWITT RD, WILSON, OK 73463-1875
(580) 490-9750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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