Individual
MRS. COURTNEY BLUM BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1585 ELLINWOOD AVE, STE 106, DES PLAINES, IL 60016-4510
(310) 403-3825
Mailing address
2109 GLENVIEW AVE, PARK RIDGE, IL 60068-1719
(310) 403-3825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011949
IL
Other
Enumeration date
07/10/2007
Last updated
07/13/2016
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