Individual
MRS. SAMANTHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
31 N MAPLE AVE APT 513, MARLTON, NJ 08053-1740
(609) 372-6205
Mailing address
31 N MAPLE AVE APT 513, MARLTON, NJ 08053-1740
(609) 372-6205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06471200
NJ
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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