Shantaye Powell
NPI #1831725050 in Metropolis, Illinois
Provider Information
- NPI Number
- 1831725050
- Entity Type
- Individual
- Name
- Shantaye Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 19, 2020
- Last Updated
- Mar 19, 2020
Practice Location
- Address
- 206 W 5TH ST
- City
- Metropolis
- State
- Illinois
- ZIP Code
- 62960-1810
- Phone
- (618) 524-9368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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