Individual
KIRK FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 KELLOGG BLVD E, SAINT PAUL, MN 55101-1420
(651) 266-4379
(651) 266-4443
Mailing address
160 KELLOGG BLVD E, SAINT PAUL, MN 55101-1420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10348
MN
Other
Enumeration date
02/02/2007
Last updated
07/09/2007
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