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1093259194
KELLY JO BOWLES
ORANGE CITY, FL
NPI
1093259194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW11089)
Enumeration Date
2016-12-07
Last Update Date
2022-06-13
Business Address
KELLY JO BOWLES LCSW
104 TREEMONTE DR
ORANGE CITY, FL 32763-7953
Phone number: 386-385-4748
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Mailing Address
KELLY JO BOWLES LCSW
2578 ENTERPRISE RD # 171
ORANGE CITY, FL 32763-7904
Phone number: 386-385-4748
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