Individual
MS. KIMBERLEY JO BOWSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000998A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133203000
MAGELLAN BEHAVIORAL
IN
01
—
338948
VALUE OPTIONS
IN
01
—
ANTHEM
000000184278
IN
Enumeration date
06/26/2006
Last updated
01/25/2012
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