Individual
ERICA DANIELLE BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1451 DEERWOOD DR, JACKSON, MO 63755-4147
(573) 576-1456
Mailing address
1451 DEERWOOD DR, JACKSON, MO 63755-4147
(573) 576-1456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018030504
MO
Other
Enumeration date
10/03/2019
Last updated
08/14/2023
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