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Tawanna Diane Powell

Case Manager/Care Coordinator in Bowie, MD. Individual provider (NPI-1).

NPI number1710675889
StatusActive
Last updated in NPPESApr 26, 2023

Details

NPI
1710675889
Entity type
Individual (NPI-1)
Name
Tawanna Diane Powell
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2023
Certification date
Apr 26, 2023
Last updated
Apr 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

14320 Driftwood Rd
Bowie, MD 20721-3044

Phone 240-797-9748

Mailing address

14320 Driftwood Rd
Bowie, MD 20721-3044

Phone 240-797-9748

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