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Individual

MRS. ANITA NICHOLE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCAT

Contact information

Practice address
1366 INWOOD AVE, BRONX, NY 10452-3203
(917) 409-8688
Mailing address
1164 E 35TH ST, BROOKLYN, NY 11210-4231
(516) 712-2504

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002533
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
10/05/2021
Last updated
04/03/2025
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