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Individual

LIANA W BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6779
Mailing address
2606 E LOCUST ST, MILWAUKEE, WI 53211-3467

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5305
WI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/17/2012
Last updated
08/04/2014
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