Individual
LISA J. FOWLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 OAKHILL CT, YORK, SC 29745-9154
(803) 366-9111
(803) 366-9111
Mailing address
1061 OAKHILL CT, YORK, SC 29745-9154
(803) 366-9111
(803) 366-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004973
NC
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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