Individual
HEATHER BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ROBERTS ST, TALIHINA, OK 74571-2317
(918) 721-7574
Mailing address
PO BOX 1385, TALIHINA, OK 74571-1385
(918) 567-3293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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