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Individual

LINDA KATHELENE BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
123 E 44TH ST STE A, GARDEN CITY, ID 83714-5008
(208) 484-3017
(208) 658-4827
Mailing address
2219 N CURTIS RD, BOISE, ID 83706-1011
(208) 484-3017

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34585
ID

Other

Enumeration date
10/22/2013
Last updated
05/29/2015
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