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Individual

JIMMIE C POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9850-C EMMETT F. LOWRY EXPY, SUITE C-102, TEXAS CITY, TX 77591
(409) 949-3406
(409) 949-3492
Mailing address
PO BOX 939, LA MARQUE, TX 77568-0939
(409) 949-3406
(409) 949-3492

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
07596
TX

Other

Enumeration date
07/18/2006
Last updated
07/09/2012
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