Individual
MARQUITA S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 RIDGE RD, LANSING, IL 60438-3127
(708) 872-0311
Mailing address
17558 BURNHAM AVE, LANSING, IL 60438-1906
(708) 872-0311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014239
IL
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
04/10/2013
Last updated
10/27/2021
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