Individual
MS. MARY THERESE POWERS-WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
1441 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 286-9919
Mailing address
1441 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 286-9919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44
AL
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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