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Individual

BILLIEJO L BOWDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
396 DARLING RD, HUDSON, ME 04449-3524
(207) 884-7028
Mailing address
396 DARLING RD, HUDSON, ME 04449-3524
(207) 884-7028

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8296
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098304
ANTHEM LEGACY NUMBER
ME
05
302140099
ME
Enumeration date
05/19/2006
Last updated
10/01/2008
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