Individual
MRS. ACASHA GRANT BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 NE 10TH ST STE B106, MIDWEST CITY, OK 73110-3653
(405) 736-0056
Mailing address
3704 BEAL AVE, SPENCER, OK 73084-2112
(405) 771-4623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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