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Individual
MS. DEIRDRA S POWELL
Active
Individual
MS. DEIRDRA S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R050839-1
NY
Other
Enumeration date
10/08/2012
Last updated
12/10/2013
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