Individual
MRS. TALITHA ANDERSON FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 S 3RD ST, DANVILLE, KY 40422-1824
(859) 239-5870
(859) 239-5879
Mailing address
222 S 3RD ST, DANVILLE, KY 40422-1824
(859) 239-5870
(859) 239-5879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904006896
VA
1041C0700X
Clinical Social Worker
Primary
3811
KY
Other
Enumeration date
11/26/2013
Last updated
12/02/2013
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