Individual
KENNETH OVED POWERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
(304) 897-6216
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-6216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904007035
VA
1041C0700X
Clinical Social Worker
15617
MD
1041C0700X
Clinical Social Worker
Primary
DP00940427
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740511849
—
VA
Enumeration date
01/29/2010
Last updated
07/17/2012
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