Individual
GREG POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
806 SHADY CREEK DR, KENNEDALE, TX 76060-5441
(817) 919-8739
Mailing address
806 SHADY CREEK DR, KENNEDALE, TX 76060-5441
(817) 919-8739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29082
TX
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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