Individual
WILLIAM LEE FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1830 DESTINY LN STE 110, BOWLING GREEN, KY 42104-1088
(270) 904-6567
Mailing address
1103 HOMESTEAD CT, BOWLING GREEN, KY 42104-4122
(270) 535-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252309
KY
Other
Enumeration date
11/22/2023
Last updated
02/16/2024
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