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Daniel Wallace Powell

Social Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1407124662
StatusActive
Last updated in NPPESJan 29, 2021

Details

NPI
1407124662
Entity type
Individual (NPI-1)
Name
Daniel Wallace Powell
Sex
Male
Sole proprietor
No
Enumeration date
Dec 2, 2011
Certification date
Jan 29, 2021
Last updated
Jan 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
171M00000X Case Manager/Care Coordinator––

Practice location

546 S Elizabeth St Apt 2
Salt Lake City, UT 84102-3822

Phone 801-666-9061

Mailing address

546 S Elizabeth St Apt 2
Salt Lake City, UT 84102-3822

Phone 801-666-9061

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