Individual
JASON MYLIS BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
104 E MAIN ST, ANDERSON, MO 64831-4103
(417) 845-6984
(417) 845-6976
Mailing address
104 E MAIN ST, ANDERSON, MO 64831-4103
(417) 845-6984
(417) 845-6976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017018004
MO
Other
Enumeration date
05/04/2015
Last updated
12/30/2020
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