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Courtney Blum Bowles, LCSW

Social Worker, Clinical in Des Plaines, IL. Individual provider (NPI-1).

NPI number1043418296
StatusActive
Last updated in NPPESJul 13, 2016

Details

NPI
1043418296
Entity type
Individual (NPI-1)
Name
Mrs. Courtney Blum Bowles
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 10, 2007
Last updated
Jul 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.011949ILYes

Practice location

1585 Ellinwood Ave
Ste 106
Des Plaines, IL 60016-4510

Phone 310-403-3825

Mailing address

2109 Glenview Ave
Park Ridge, IL 60068-1719

Phone 310-403-3825

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