Individual
JAMIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 576-5191
Mailing address
1450 N SEDGWICK ST # 3C328, CHICAGO, IL 60610-1249
(773) 842-6305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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