Individual
MRS. RENA D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW/LCSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2773
(318) 483-5177
Mailing address
PO BOX 3923, PINEVILLE, LA 71361-3923
(318) 445-2947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5350
LA
Other
Enumeration date
05/22/2006
Last updated
05/11/2010
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