Individual
MICHAEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3806
(602) 257-6336
Mailing address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3806
(602) 257-6336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1013
AZ
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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