Individual
MR. CHARLES LEE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 KENSINGTON AVE, BUFFALO, NY 14215-1611
(716) 870-8342
(716) 854-2334
Mailing address
1131 KENSINGTON AVE, BUFFALO, NY 14215-1611
(716) 870-8342
(716) 854-2334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074746
NY
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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