Individual provider · NPI-1

Amy Marie Bowder, LSW

Case Manager/Care Coordinator · Minneapolis, MN

NPI number1457719437
StatusActive
Last updated in NPPESFeb 4, 2016

Details

NPI
1457719437
Entity type
Individual (NPI-1)
Name
Amy Marie Bowder
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2016
Last updated
Feb 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator22278MNYes

Practice location

2445 Park Ave
Minneapolis, MN 55404-3714

Phone 612-343-3265 · Fax 612-343-3267

Mailing address

309 Plum St N
Northfield, MN 55057-1556

Phone 612-343-3265 · Fax 612-343-3267

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