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1821788852
CHUCKIA SHANNON WILLIAMS POWELL
WASHINGTON, DC
NPI
1821788852
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Former Name
CHUCKIA SHANNON POWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
CHUCKIA SHANNON WILLIAMS POWELL
3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-2408
Phone number: 202-878-6626
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Mailing Address
CHUCKIA SHANNON WILLIAMS POWELL
1418 HOWARD RD SE APT 203
WASHINGTON, DC 20020-4460
Phone number: 202-321-9929
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