Individual
MRS. JESSIKA LENETT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 W MAIN ST, MERCED, CA 95340
(209) 205-1058
(209) 205-1062
Mailing address
642 W MAIN ST, MERCED, CA 95340-4718
(209) 205-1058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
02/13/2025
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