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Organization

ROBERT G. POWELL, LCSW, BCD, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G. POWELL LCSW (CLINICAL SOCIAL WORKER)
(719) 687-7180
Entity
Organization

Contact information

Practice address
471 S. BALDWIN, SUITE 3D, WOODLAND PARK, CO 80866-5616
(719) 687-7180
(719) 687-9771
Mailing address
PO BOX 5616, WOODLAND PARK, CO 80866-5616
(719) 687-7180
(719) 687-9771

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/02/2010
Last updated
06/02/2010
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