Individual
SUZANNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
18 IMPERIAL PL, UNIT 5B, PROVIDENCE, RI 02903-4641
(401) 751-6080
(401) 751-6080
Mailing address
18 IMPERIAL PL UNIT 5B, PROVIDENCE, RI 02903-4643
(401) 751-6080
(401) 751-6080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106910
MA
1041C0700X
Clinical Social Worker
Primary
ISW00204
RI
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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