Individual
AUDREY E BOWLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4411 WASHINGTON AVE, EVANSVILLE, IN 47714-0805
(812) 479-1916
Mailing address
4411 WASHINGTON AVE, EVANSVILLE, IN 47714-0805
(812) 479-1916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99104682A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238820
—
IN
Enumeration date
09/07/2021
Last updated
09/07/2021
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