Mary Sue Daase Bowen, M.S., L.P.C.
Counselor in Milwaukee, WI. Individual provider (NPI-1).
NPI number1164085205
StatusActive
Last updated in NPPESApr 15, 2019
Details
- NPI
- 1164085205
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Sue Daase Bowen
- Credential
- M.S., L.P.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2019
- Last updated
- Apr 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2821 N 4th StreetMilwaukee, WI 53212
Phone 414-263-6000 · Fax 414-263-2270
Mailing address
2821 N 4th StreetMilwaukee, WI 53212
Phone 414-263-6000 · Fax 414-263-2270
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