Individual
MERLANDA Y POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
172 HIGHWAY 309 N, BYHALIA, MS 38611-6968
(662) 838-4214
Mailing address
1280 TREATY RD, COLLIERVILLE, TN 38017-3415
(901) 853-1124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C7402
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7402
LCSW LICENSE
MS
Enumeration date
10/22/2007
Last updated
10/22/2007
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