Individual
MR. KIMBERLY DENISE BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5090G
AL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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