Individual
MRS. AUDREY SMITH BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,MSW
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4255
Mailing address
PO BOX 33549, CHARLOTTE, NC 28233-3549
(704) 384-4255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006137
NC
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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