Individual
MR. CHARLES E BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCSW, LMFT
Contact information
Practice address
9292 N MERIDIAN ST STE 311, INDIANAPOLIS, IN 46260-1828
(317) 843-0717
Mailing address
9292 N MERIDIAN ST STE 311, INDIANAPOLIS, IN 46260-1828
(317) 843-0717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002755A
IN
106H00000X
Marriage & Family Therapist
35000195A
IN
Other
Enumeration date
05/21/2007
Last updated
05/05/2010
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