KIM POWELL

LAKE PROVIDENCE, LA
NPI1962934554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-04-01
Last Update Date2023-11-06
Business Address
KIM POWELL
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-418-0297
Mailing Address
KIM POWELL
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-418-0297
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