Individual
GRACE M BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 BUSH RIVER DRIVE, FARMVILLE, VI 23901
(434) 392-3187
(434) 392-5789
Mailing address
P.O. DRAWER 248, FARMVILLE, VI 23901
(434) 392-3187
(434) 392-5789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006481
VA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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