Individual
CICELY D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Mailing address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023539
IL
1041C0700X
Clinical Social Worker
34006447A
IN
Other
Enumeration date
10/23/2009
Last updated
05/03/2023
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