Individual
MARY ANN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12220 CHATTANOOGA PLAZA, #173, MIDLOTHIAN, VA 23112
(804) 561-2794
(804) 561-1857
Mailing address
12220 CHATTANOOGA PLAZA, #173, MIDLOTHIAN, VA 23112
(804) 561-2794
(804) 561-1857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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