Individual
MRS. MADELYN WHITLEY BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISWCP
Contact information
Practice address
1624 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8091
(615) 221-7075
Mailing address
4211 N OKATIE HWY, RIDGELAND, SC 29936
(843) 645-3838
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW15416CP
SC
Other
Enumeration date
06/12/2017
Last updated
03/19/2024
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