Individual
AMY BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
(336) 725-6628
Mailing address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
(336) 725-6628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22697
NC
104100000X
Social Worker
Primary
C011390
NC
Other
Enumeration date
02/23/2016
Last updated
01/02/2020
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