Provider Information for 1003139809
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Ms. BROOKE ALLISON BOWEN LPC
Sex: Female
NPI: 1003139809
Last Updated: 2013-08-13
Certification Date:
Certification Date:
Details
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| NPI | 1003139809 | ||||||||||||||||||||||||||||
| Enumeration Date | 2010-03-08 | ||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Mailing Address | 425 5TH AVE NW ATTALLA, AL 35954-2214 United States Phone: 256-492-7800 | Fax:256-494-5536 | ||||||||||||||||||||||||||||
| Primary Practice Address | 301 14TH ST NW FORT PAYNE, AL 35967-3155 United States Phone: 256-845-4571 | Fax:256-845-4582 | ||||||||||||||||||||||||||||
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