Individual
REBECCA ANNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 W ATLANTIC ST # 107, BRANSON, MO 65616-2462
(541) 903-2590
Mailing address
PO BOX 6554, BRANSON, MO 65615-6554
(541) 903-2590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L10292
OR
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952590085
—
OR
Enumeration date
10/15/2007
Last updated
10/03/2022
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