Individual
MS. KATHRYN ANNA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
6688 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 210-1555
Mailing address
PO BOX 599, MATHEWS, VA 23109-0599
(804) 815-9215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006803
VA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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