Individual
MR. MATHEW G BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
70059863502
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-38761
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
05/19/2008
Last updated
03/17/2021
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