Individual
HEATHER FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
2213 N REYNOLDS RD, STE 1, BRYANT, AR 72022-2533
(501) 847-0081
(501) 847-6905
Mailing address
2213 N REYNOLDS RD, STE 1, BRYANT, AR 72022-2533
(501) 847-0081
(501) 847-6905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
10/13/2014
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