LISA J BOWEN

FORT WORTH, TX
NPI1649741133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  14331)
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
LISA J BOWEN AAS
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
Mailing Address
LISA J BOWEN AAS
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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