Robert G. Powell, Lcsw, Bcd, P.c.

NPI #1164742094 in Woodland Park, Colorado

Provider Information

NPI Number: 1164742094
Entity Type: Organization
Organization Name: Robert G. Powell, Lcsw, Bcd, P.c.
Primary Specialty: Social Worker
Enumeration Date: Jun 2, 2010
Last Updated: Jun 2, 2010

Practice Location

Address: 471 S. BALDWIN
Address 2: SUITE 3D
City: Woodland Park
State: Colorado
ZIP Code: 80866-5616
Phone: (719) 687-7180

Authorized Official

Name: MR. ROBERT G. POWELL, LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (719) 687-7180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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