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Individual

GENA SHARON BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, INTERN

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 685-9991
Mailing address
160 14TH ST, OAKLAND, CA 94612-4360
(510) 685-9991

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CA

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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