Individual
LIBBY BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N MAIN ST, MOUNTAIN GROVE, MO 65711-1011
(417) 926-0803
Mailing address
1300 N MAIN ST, MOUNTAIN GROVE, MO 65711-1011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013042525
MO
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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