Individual
FRED CLIFFORD BOWEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 WASHINGTON ST, HART, MI 49420-1127
(231) 670-6480
Mailing address
917 W NORTON AVE, NORTON SHORES, MI 49441-4105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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