Individual
MR. DJUAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5110 S KENWOOD AVE APT 310, CHICAGO, IL 60615-4045
(773) 592-4243
Mailing address
5110 S KENWOOD AVE APT 310, CHICAGO, IL 60615-4045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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