Individual
MS. LEA KATHRYN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 E PARK BLVD, BOISE, ID 83712-7791
(208) 381-4100
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36211
ID
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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