Individual
CAROL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MADISON AVE, FRANKLIN SQUARE, NY 11010-3613
(516) 606-5776
Mailing address
40 MADISON AVE, FRANKLIN SQUARE, NY 11010-3613
(516) 606-5776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070568-1
NY
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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