Individual
SYVLIA DIAZ-BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 391-6737
Mailing address
301 FORT LN, PORTSMOUTH, VA 23704-2221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005488
VA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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