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Individual

MR. MICHAEL ANTONIO POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 N COURT SQ, OFFICE 18, LUMBERTON, NC 28358-5579
(910) 536-5636
Mailing address
101 N COURT SQ, OFFICE 18, LUMBERTON, NC 28358-5579
(910) 536-5636

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6620
NC

Other

Enumeration date
06/07/2007
Last updated
06/26/2013
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