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Individual

MRS. DANIELLE M BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2010 CHERRY HILL CT, JEFFERSONVILLE, IN 47130-6743
(812) 946-3812
(502) 718-0536
Mailing address
2010 CHERRY HILL CT, JEFFERSONVILLE, IN 47130-6743
(502) 718-0536

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
253Z00000X
In Home Supportive Care Agency
Primary
21-014614-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300021130
IN
Enumeration date
10/17/2014
Last updated
03/28/2022
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