Individual
MR. DAVID EDWARD MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1877 GAYNELL DR, SEYMOUR, IN 47274-7684
(812) 707-9659
Mailing address
1877 GAYNELL DR, SEYMOUR, IN 47274-7684
(812) 707-9659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-1-30927-07-12-2009
CANS
IN
01
—
2-5-18451-07-12-2009
ANSA
IN
Enumeration date
07/07/2009
Last updated
03/12/2010
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