Individual
MARY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
73 SUNSET BLVD, STEVENS POINT, WI 54481-2378
(715) 342-0393
Mailing address
73 SUNSET BLVD, STEVENS POINT, WI 54481-2378
(715) 342-0393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3327-154
WI
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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