Individual
DAEJA CASSIDY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 FERGUSON ST. SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
12026 CHAMPION DR SW, OLYMPIA, WA 98512-9014
(360) 489-9159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61141218
WA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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