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Individual

MRS. LARA BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
16308 W 127TH TER, OLATHE, KS 66062-1388
(913) 226-0971
Mailing address
11261 STRANG LINE RD, LENEXA, KS 66215-4040
(913) 226-0971

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1943
KS

Other

Enumeration date
12/06/2007
Last updated
08/07/2012
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