Provider Information for 1437317989
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ALICIA FLYNNE POWELL MSW
Other Names:Former Name:ALICIA FLYNNE KARLIN MSWSex: Female
NPI: 1437317989
Last Updated: 2021-01-25
Certification Date: 2021-01-25
Certification Date: 2021-01-25
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1437317989 | ||||||||||||||||||||
| Enumeration Date | 2008-05-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 916 CEDAR DR LEWISTON, ID 83501-5013 United States Phone: 208-305-5570 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 916 CEDAR DR LEWISTON, ID 83501-5013 United States Phone: 208-305-5570 | Fax: | ||||||||||||||||||||
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