Individual
BREANA S BOWSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1234
(574) 283-1361
Mailing address
PO BOX 809, GOSHEN, IN 46527-0809
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
03/15/2012
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