Doctor Name: | MRS. VERA LAVONNE BOWIE |
NPI Number: | 1609169929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I0008070 |
Business Practice Address: | Area A, Building 830, Room Bhh1-24 Wpafb, OH - 45433 |
Business Phone Number: | 9372578058 |
Business Fax Number: | |
Mailing Address: | 648 Possum Hollow Trl, GERRARDSTOWN |
State: | WV |
Postal Code: | 254203025 |
Phone Number: | 7032975495 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2011 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0008070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |