Individual
KIAH BOWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2350 E RIDGE RD, ROCHESTER, NY 14622-2721
(585) 339-1525
(585) 339-1449
Mailing address
5756 ALLEN PADGHAM RD, FARMINGTON, NY 14425-7004
(585) 339-1525
(585) 339-1449
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
094379
NY
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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