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Provider Information for 1124254990


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Ms. MARYLYN BEESON BOWMAN LCSW


Sex: Female

NPI: 1124254990
Last Updated: 2024-11-01
Certification Date: 2024-11-01

Details

NameValue
NPI1124254990
Enumeration Date2009-06-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1099 18TH ST STE 8000
DENVER, CO 80202-1908
United States

Phone: 844-257-1461 | Fax:
 
Primary Practice Address 1099 18TH ST STE 8000
DENVER, CO 80202-1908
United States

Phone: 844-257-1461 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalTNLSW0000004943
Yes 1041C0700X - Social Worker - ClinicalVA0904015512