Individual
MS. JENNIFER ROSE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 BROOKRIDGE VILLEAGE BLVD., SUITE 104, LOUISVILLE, KY 40291
(502) 785-4322
(502) 785-4433
Mailing address
2025 SULLIVAN LN, BARDSTOWN, KY 40004-7810
(270) 312-9755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
7529
KY
Other
Enumeration date
03/21/2014
Last updated
05/11/2018
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