Individual
MS. JODEE JEAN BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 627-2562
(505) 627-2544
Mailing address
1102 N LEA AVE, ROSWELL, NM 88201-5033
(505) 627-2562
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-04853
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29572771
—
NM
Enumeration date
01/17/2007
Last updated
07/09/2007
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