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Individual

MISS KATIE BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-4237
Mailing address
3101 FOSTER AVE, BALTIMORE, MD 21224-3932
(443) 690-0991

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18305
MD

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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