Individual
MS. TANYA BOWSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS , ADT
Contact information
Practice address
34 DEFENSE ST STE 120, ANNAPOLIS, MD 21401-3577
(443) 440-5782
Mailing address
136 WISTERIA LN, STEVENSVILLE, MD 21666-2825
(410) 310-0575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17401
MD
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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