Individual
MRS. JENNIFER BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 STILLEY CIR, CONWAY, SC 29526-3072
(843) 902-1275
Mailing address
1510 STILLEY CIR, CONWAY, SC 29526-3072
(843) 902-1275
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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