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Organization
JULIE B GOWEN PLLC
Active
Organization
JULIE B GOWEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GOWEN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(210) 219-4991
Entity
Organization
Contact information
Practice address
16607 BLANCO RD, SUITE 12101, SAN ANTONIO, TX 78232-1913
(210) 219-4991
(210) 399-0751
Mailing address
10106 LORENE LN, SAN ANTONIO, TX 78216-4407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86509Q
BCBS
TX
01
—
8D6807
MEDICARE ID - UNSPECIFIED
TX
Enumeration date
05/03/2011
Last updated
05/03/2011
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