Individual
AUDREY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S LAKE DR, PRESTONSBURG, KY 41653-1339
(606) 430-2256
(606) 218-6577
Mailing address
631 S LAKE DR, PRESTONSBURG, KY 41653-1339
(606) 430-2256
(606) 218-6577
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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