Derek Thomas Bowles, LCSW, MSW
Social Worker, Clinical in Farmington, UT. Individual provider (NPI-1).
NPI number1689695173
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1689695173
- Entity type
- Individual (NPI-1)
- Name
- Derek Thomas Bowles
- Credential
- LCSW, MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4950278-3501 | UT | Yes |
Practice location
291 S 200 WFarmington, UT 84025-2419
Phone 801-451-7799 · Fax 801-451-6331
Mailing address
Po Box 689Farmington, UT 84025-0689
Phone 801-451-7799 · Fax 801-451-6331
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