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1003079005
BREANA S BOWSHER
SOUTH BEND, IN
NPI
1003079005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-09
Last Update Date
2012-03-15
Business Address
-- BREANA S BOWSHER MSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
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Mailing Address
-- BREANA S BOWSHER MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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