Individual
ALLISON MARIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1534
(610) 265-4700
Mailing address
212 LINCOLN AVE, COLLINGSWOOD, NJ 08108-1513
(856) 287-8955
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
09623719
PA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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