Individual
SIMMONE VICTORIA PAYNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 HIGH ST APT 2C, ORANGE, NJ 07050-1608
(862) 276-7025
Mailing address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-0004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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