MEDICARE: WILLIAM JOHN BOWES MSC LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	313099	MA

General Provider Information

NPI Number	:	1659446995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JOHN BOWES MSC LSW

Provider Business Mailing Address
First Line	:	6 ROBERT AVE
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-1711
Country	:	US
Telephone Number	:	508-754-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 ROBERT AVE
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-1711
Country	:	US
Telephone Number	:	508-754-8787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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