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Individual

DR. ADA RUTH POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
207 E CAPITOL AVE STE 206, PIERRE, SD 57501-3159
(605) 494-0531
(605) 494-0562
Mailing address
207 E CAPITOL AVE STE 206, PIERRE, SD 57501-3159
(605) 494-0531
(605) 494-0562

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
546
SD
103TH0100X
Health Service Psychologist
Primary
918
OK

Other

Enumeration date
03/05/2013
Last updated
03/12/2018
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