Individual
LAURA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., DT-C
Contact information
Practice address
1300 S MAPLE ST, SPURGEON, IN 47584-9615
(812) 483-3602
Mailing address
1300 S MAPLE ST, SPURGEON, IN 47584-9615
(812) 483-3602
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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