Individual
MARTHA HILL BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
128 MERCHANTS ROW, STE 604, RUTLAND, VT 05701-5912
(802) 773-1411
(802) 773-9811
Mailing address
128 MERCHANTS ROW, STE 604, RUTLAND, VT 05701-5912
(802) 773-1411
(802) 773-9811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000274
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0553
—
VT
Enumeration date
07/08/2006
Last updated
07/08/2007
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