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Individual

AVA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
144 NORTH RD, SUDBURY, MA 01776-1156
(978) 233-3054
Mailing address
10 ASYLUM ST, MILFORD, MA 01757-2203

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
128549
MA

Other

Enumeration date
08/30/2021
Last updated
12/18/2024
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