Individual
MS. AUDRA BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
112 E 124TH ST, CHICAGO, IL 60628-7519
(773) 206-5513
Mailing address
112 E 124TH ST, CHICAGO, IL 60628-7519
(773) 206-5513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-004700
IL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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