Individual
MR. DANDRE LATIEF BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E MARKET ST, WARREN, OH 44483-6641
(330) 271-8486
(330) 662-6601
Mailing address
1457 CENTRAL PARKWAY AVE SE, WARREN, OH 44484-4458
(330) 406-9690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
146L00000X
Paramedic
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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