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Breana S Bowsher, MSW

Social Worker in South Bend, IN. Individual provider (NPI-1).

NPI number1003079005
StatusActive
Last updated in NPPESMar 15, 2012

Details

NPI
1003079005
Entity type
Individual (NPI-1)
Name
Breana S Bowsher
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2008
Last updated
Mar 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
101YM0800X Counselor, Mental Health––

Practice location

415 E Madison St
South Bend, IN 46617-2322

Phone 574-283-1234 · Fax 574-283-1361

Mailing address

Po Box 809
Goshen, IN 46527-0809

Phone 574-533-1234 · Fax 574-537-2652

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