Individual
BRINDA FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1492 SPRINGFIELD RD, MEHERRIN, VA 23954-2222
(434) 736-8369
(434) 736-8602
Mailing address
1492 SPRINGFIELD RD, MEHERRIN, VA 23954-2222
(434) 736-8369
(434) 736-8602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002272
VA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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