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Jack Powell, LCSW-C

NPI 1104090547 · on the registry since 2008 · sole proprietor

Practice

Address: 310 Gay St
Lower Level
Cambridge, MD 21613
Phone: (410) 228-7714
Fax: (410) 228-8049
Organisation at this address: Dorchester County Health Department
Dorchester County Drug And Alcohol Health Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland