Individual
NICHOLAS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MAIN ST N, NAVARRE, OH 44662-1159
(330) 324-2086
Mailing address
36 WOOSTER ST NE, NAVARRE, OH 44662-1044
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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