Candice Bowman

NPI #1174060719 in Bridgeton, Missouri

Provider Information

NPI Number: 1174060719
Entity Type: Individual
Name: Candice Bowman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 20, 2017
Last Updated: Jan 20, 2017

Practice Location

Address: 12303 DEPAUL DRIVE
City: Bridgeton
State: Missouri
ZIP Code: 63044
Phone: (314) 344-6499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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