Individual
LORI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2700 W INDIANA ST, EVANSVILLE, IN 47712-5637
(812) 428-0698
Mailing address
2700 W INDIANA ST, EVANSVILLE, IN 47712-5637
(812) 428-0698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006917A
IN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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