Individual
MS. TYNIECE BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 COURT DR, GASTONIA, NC 28054-2152
(704) 215-5822
Mailing address
7722 KREFELD GLEN DR, APT.811, GASTONIA, NC 28054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P015638
NC
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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