Individual
BLAIR MARINI BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEDS-S
Contact information
Practice address
406 W FRANKLIN ST STE 201, RICHMOND, VA 23220-4906
(804) 596-5201
Mailing address
2709 GRAYLAND AVE, RICHMOND, VA 23220-5103
(704) 771-4752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013164
VA
1041C0700X
Clinical Social Worker
C012996
NC
Other
Enumeration date
12/16/2019
Last updated
01/06/2024
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