Organization
LEA BOWMAN LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA BOWMAN LCSW (OWNER)
(208) 576-7411
Entity
Organization
Contact information
Practice address
2714 N TAMARACK DR, BOISE, ID 83703-4427
(208) 576-7411
Mailing address
2714 N TAMARACK DR, BOISE, ID 83703-4427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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