Individual
CHUCKIA SHANNON WILLIAMS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-2408
(202) 878-6626
Mailing address
1418 HOWARD RD SE APT 203, WASHINGTON, DC 20020-4460
(202) 321-9929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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