JACK L. POWELL

CAMBRIDGE, MD
NPI1104090547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  08358)
Enumeration Date2008-04-16
Last Update Date2010-02-24
Business Address
-- JACK L. POWELL LCSW-C
310 GAY ST LOWER LEVEL
CAMBRIDGE, MD 21613-1898
Phone number: 410-228-7714
Mailing Address
-- JACK L. POWELL LCSW-C
310 GAY ST LOWER LEVEL
CAMBRIDGE, MD 21613-1898
Phone number: 410-228-7714
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