Most Relevant Information
Provider Data
| NPI Number: | 1003030453 |
| Provider Name: | AMY BOWMAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 34005318A |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
215 W INDIANA AVE
CHESTERTON
IN
463042457
Practice Location Phone/Fax
| Phone: | 2199210705 |
| Fax: | 2199210557 |
Provider Mailing Location
215 W INDIANA AVE
CHESTERTON
IN
463042457
Provider Mailing Phone/Fax
| Phone: | 2199210705 |
| Fax: | 2199210557 |