SHANTAYE POWELL

METROPOLIS, IL
NPI1831725050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-03-19
Last Update Date2020-03-19
Business Address
SHANTAYE POWELL
206 W 5TH ST
METROPOLIS, IL 62960-1810
Phone number: 618-524-9368
Mailing Address
SHANTAYE POWELL
206 W 5TH ST
METROPOLIS, IL 62960
Phone number: