Individual
MELISSA ANN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N MAYFAIR RD STE 110, WAUWATOSA, WI 53222-3219
(414) 476-9755
(414) 476-3413
Mailing address
3333 N MAYFAIR RD STE 110, WAUWATOSA, WI 53222-3219
(414) 476-9755
(414) 476-3413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
372-140
WI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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