Individual
MS. SARA S. BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1110 W MAUD ST, POPLAR BLUFF, MO 63901-4816
(573) 686-0790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4992
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000286036
CHAMPUS/CHAMPVA
SC
Enumeration date
09/25/2006
Last updated
07/08/2007
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