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Individual

ROBERT T BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
2101 JACOB ST STE 501, WHEELING, WV 26003-3800
(304) 234-8517
(304) 234-8745
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00938589
WV
1041C0700X
Clinical Social Worker
I0008930
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217379
ANTHEM BCBS
KY
01
000701395
MOUNTAIN STATE BCBS
WV
01
275588000
MAGELLAN BEHAVIORAL HEALT
OH
01
357056
VALUE OPTIONS
NY
Enumeration date
02/07/2007
Last updated
04/06/2022
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