Individual
CORBREN NICHELLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 SAM NEWELL RD STE 204, MATTHEWS, NC 28105-7594
(980) 202-6643
(980) 246-9482
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013423
NC
Other
Enumeration date
10/14/2019
Last updated
02/06/2025
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