Individual
MR. WAYNE ALWYN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2345 UNIVERSITY AVENUE, BRONX, NY 10468
(646) 568-5368
Mailing address
PO BOX 685, HARRISON, NY 10528
(212) 655-9605
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P99113
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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