Individual
LORETTA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 LONGHAVEN XING, ANTIOCH, TN 37013-2344
(615) 593-0124
(615) 280-6524
Mailing address
3621 LONGHAVEN XING, ANTIOCH, TN 37013-2344
(615) 593-0124
(615) 280-6524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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