Individual
MARK COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 287-9640
Mailing address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 287-9640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00840
IA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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