Individual
MARY R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
908 SCARBRO RD, NEW RIVER HEALTH - SCARBRO, SCARBRO, WV 25917-8837
(304) 469-2905
(304) 465-5486
Mailing address
PO BOX 337, NEW RIVER HEALTH ASSOCIATION INC, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-5486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00208400
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000553
—
WV
Enumeration date
02/16/2006
Last updated
11/30/2009
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