Individual
MR. DAN LEE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
714 W COLLEGE ST, DULUTH, MN 55811-4906
(218) 724-8815
(218) 724-0251
Mailing address
714 W COLLEGE ST, DULUTH, MN 55811-4906
(218) 724-8815
(218) 724-0251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
# 05245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# 05245
LICSW
MN
Enumeration date
06/03/2010
Last updated
06/02/2016
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