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Individual

SARA LANEA BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
110 MANNON DR, ALUM CREEK, WV 25003-9566
(304) 923-8833
Mailing address
110 MANNON DR, ALUM CREEK, WV 25003-9566
(304) 923-8833

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0908
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0908
WV
Enumeration date
08/08/2021
Last updated
08/08/2021
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