Individual
MR. JEREMY ADAM BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6384
KY
1041C0700X
Clinical Social Worker
Primary
5060
KY
Other
Enumeration date
08/28/2012
Last updated
03/08/2018
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