Individual
MS. TIFFANY BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
8121 IRWIN ST NE, ALBUQUERQUE, NM 87109-5269
(505) 453-6464
(505) 843-8449
Mailing address
8121 IRWIN ST NE, ALBUQUERQUE, NM 87109-5269
(505) 453-6464
(505) 843-8449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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