Individual
JENNIFER J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007918
IA
1041C0700X
Clinical Social Worker
007918
IA
Other
Enumeration date
10/22/2015
Last updated
02/11/2025
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