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NPI Profile for DIANA J BOWEN in GARDINER, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1659439990 |
|
| Status | Active | |
| Credentials | LCPC (Licensed Clinical Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 12/05/2006 | |
| Last updated | 09/16/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANA J BOWEN
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DIANA J BOWEN, LCPC