Most Relevant Information
Provider Data
| NPI Number: | 1003643016 |
| Provider Name: | NICOLE BOWEN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | US779534 |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
3518 W 25TH ST
CLEVELAND
OH
441091951
Practice Location Phone/Fax
| Phone: | 2165322934 |
| Fax: |
Provider Mailing Location
3518 W 25TH ST
CLEVELAND
OH
441091951
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |