Individual
BETTY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW-C
Contact information
Practice address
1301 GLADEWOOD DR, BLACKSBURG, VA 24060-2612
(540) 315-7225
(484) 472-1527
Mailing address
610 N MAIN ST # 112, BLACKSBURG, VA 24060-3311
(540) 315-7225
(484) 472-1527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
08787
MD
1041C0700X
Clinical Social Worker
Primary
0904002492
VA
1041C0700X
Clinical Social Worker
CW016331
PA
Other
Enumeration date
12/09/2010
Last updated
08/19/2014
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