# CRISTINA FOWLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902372899
- **Gender:** F
- **Credential:** MSW, SWLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | BBH-SWLC-LIC-17315 | MT | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 08/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000320195 | — | MT |