Individual
JUSTIN DEAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1354 E 36TH ST, OAKLAND, CA 94602-1120
(217) 552-0859
Mailing address
1354 E 36TH ST, OAKLAND, CA 94602-1120
(217) 552-0859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
11/01/2013
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