Individual
COURTNEY ROSE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 PROVIDENCE MANOR CT, COLUMBIA, SC 29203-9055
(184) 346-7031
Mailing address
12 PROVIDENCE MANOR CT, COLUMBIA, SC 29203-9055
(843) 467-0319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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