Individual
BRANDON POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1185
Mailing address
52 DUSTIN ST, BOSTON, MA 02135-2853
(704) 668-1535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09927875
CO
Other
Enumeration date
08/24/2016
Last updated
10/02/2024
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