Organization
CAROL FOWLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FOWLER LCSW (LICENSED CLIICAL SOCIAL WORKER)
(479) 220-9694
Entity
Organization
Contact information
Practice address
3211 SW BRIAR CREEK AVE, BENTONVILLE, AR 72712-7995
(479) 220-9694
Mailing address
3211 SW BRIAR CREEK AVE, BENTONVILLE, AR 72712-7995
(479) 220-9694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1594-C
AR
Other
Enumeration date
02/02/2015
Last updated
09/30/2020
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