Individual
BEVERLY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 N 16TH ST, WHEATLEY HTS, NY 11798-1815
(631) 742-5350
Mailing address
116 N 16TH ST, WHEATLEY HTS, NY 11798-1815
(631) 742-5350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
018889
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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