Individual
BRANDON KEYTH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 LAKEMOORE DR NE APT A, ATLANTA, GA 30342-3872
(901) 574-1613
Mailing address
271 LAKEMOORE DR NE APT A, ATLANTA, GA 30342-3872
(901) 574-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008346
GA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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