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Individual

PETER BOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
466 W 4800 N STE 180, PROVO, UT 84604-5705
(800) 832-7733
Mailing address
555 N 75 W, SPRINGVILLE, UT 84663-1043
(435) 773-2265

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/07/2020
Last updated
11/21/2023
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