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Individual

DAVID LEE BOWBEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
196 GREYROCK PL, STAMFORD, CT 06901-2006
(203) 517-3329
Mailing address
196 GREYROCK PL, STAMFORD, CT 06901-2006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004904
CT

Other

Enumeration date
03/16/2012
Last updated
03/19/2012
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