Organization
JENNIFER S. BOWLES PHD JD LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S BOWLES PHD JD LMSW (THERAPIST)
(734) 972-4199
Entity
Organization
Contact information
Practice address
2002 HOGBACK RD STE 15, ANN ARBOR, MI 48105-9736
(734) 972-4199
Mailing address
2002 HOGBACK RD STE 15, ANN ARBOR, MI 48105-9736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447716964
MEDICARE
WI
Enumeration date
06/17/2019
Last updated
06/17/2019
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