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1447595038
HEATHER POWELL
CRESTVIEW, FL
NPI
1447595038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 9107)
Enumeration Date
2012-12-07
Last Update Date
2012-12-07
Business Address
-- HEATHER POWELL LCSW
128 JOHN KING RD STE 14
CRESTVIEW, FL 32539-5731
Phone number: 850-398-4155
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Mailing Address
-- HEATHER POWELL LCSW
128 JOHN KING RD STE 14
CRESTVIEW, FL 32539-5731
Phone number: 850-398-4155
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