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Provider Information for 1881929115


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Ms. VANESSA YVETTE BOWEN LMSW


Sex: Female

NPI: 1881929115
Last Updated: 2009-10-05
Certification Date:

Details

NameValue
NPI1881929115
Enumeration Date2009-10-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5100 MING AVE
#C13
BAKERSFIELD, CA 93309-4639
United States

Phone: 678-571-6961 | Fax:
 
Primary Practice Address 5100 MING AVE
# C13
BAKERSFIELD, CA 93309
United States

Phone: 678-571-6961 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker GAMSW003744