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Individual
THOMAS PATRICK FOWKES
Active
Individual
THOMAS PATRICK FOWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
123449
MA
1041C0700X
Clinical Social Worker
Primary
CW021800
PA
Other
Enumeration date
06/10/2015
Last updated
05/04/2023
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