Individual
DEMONTE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 MAPLE HILL DR, CHAGRIN FALLS, OH 44022-4210
(440) 485-0497
Mailing address
4300 LYNN RD STE 201, RAVENNA, OH 44266-7838
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
07/17/2024
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