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Individual
WILLIE POWELL
Active
Individual
WILLIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW PA
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
SC12965
NJ
Other
Enumeration date
01/11/2007
Last updated
11/06/2024
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