Sally A Fowler LCSW

NPI 1780736991 - Social Worker - 1041C0700X

NPI Details
NPI 1780736991
Gender Female
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3601 HENDRICKS AVENUE
JACKSONVILLE FL, 32207, US
Phone (904) 396-2666
Fax (904) 396-2698
Business Location
3601 HENDRICKS AVENUE
JACKSONVILLE FL, 32207, US
Phone (904) 396-2666
Fax (904) 396-2698
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW5174
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According to our database, Sally A Fowler LCSW NPI is 1780736991, taxonomy code is 1041C0700X and license number is SW5174, license state is located at Florida. Sally A Fowler LCSW physically located at 3601 Hendricks Avenue, Jacksonville FL, 32207. NPI Number Sally A Fowler LCSW has the Individual type.

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1780736991 NPI number is provided on an as is basis without warranty of any kind. 1780736991 is maintained by the National Plan & Provider Enumeration System. The contents of Sally A Fowler LCSW are for informational purposes only.