Individual
MARY BETH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 BROWN AVE, SUITE 2A, COOKEVILLE, TN 38501-1445
(931) 510-1095
Mailing address
652 MACKIE RD, SPARTA, TN 38583-5793
(931) 510-1095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4180
TN
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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