Individual
BRENDA J BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1140 W 500 S, VERNAL, UT 84078-2914
(435) 789-6300
(435) 789-6325
Mailing address
475 S 600 W, VERNAL, UT 84078-3033
(435) 789-6300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
282713-3501
UT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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