Individual
THOMAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
130 2ND ST, 4-SOUTH, NEENAH, WI 54956-2883
(920) 729-2151
(920) 720-7227
Mailing address
130 2ND ST, 4-SOUTH, NEENAH, WI 54956-2883
(920) 729-2151
(920) 720-7227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
210
WI
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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