Individual
DIANA J BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
17 BRUNSWICK AVENUE, GARDINER, ME 04345
(207) 588-6365
Mailing address
421 NECK RD, SOUTH CHINA, ME 04358-4108
(207) 588-6365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2965
ME
Other
Enumeration date
12/05/2006
Last updated
09/16/2010
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