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Individual
MR. DAVID EDWARD MOWRY
Active
Individual
MR. DAVID EDWARD MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-1-30927-07-12-2009
CANS
IN
01
—
2-5-18451-07-12-2009
ANSA
IN
Enumeration date
07/07/2009
Last updated
03/12/2010
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