Staci Lynn Bowie

NPI #1598055675 in Midwest City, Oklahoma

Provider Information

NPI Number: 1598055675
Entity Type: Individual
Name: Staci Lynn Bowie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 909 W SILVER MEADOW DR
City: Midwest City
State: Oklahoma
ZIP Code: 73110-1336
Phone: (405) 741-0275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Management	251B00000X	Primary

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