Individual
JAIME BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
152 N KINGS AVE, MASSAPEQUA, NY 11758-3467
(516) 558-7866
Mailing address
152 N KINGS AVE, MASSAPEQUA, NY 11758-3467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
076278
NY
133V00000X
Registered Dietitian
Primary
898954
NY
Other
Enumeration date
08/13/2008
Last updated
09/26/2008
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