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Individual

AZHANE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
3236 HOLMESTOWN RD, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15456
SC
1041C0700X
Clinical Social Worker
Primary
18618
SC

Other

Enumeration date
09/13/2022
Last updated
03/10/2026
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