Individual
LAVONTE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
437 E MYRTLE AVE, YOUNGSTOWN, OH 44507-1218
(330) 330-4042
Mailing address
437 E MYRTLE AVE, YOUNGSTOWN, OH 44507-1218
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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