Individual
DAWN J FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9680
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9680
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117675
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
05/12/2026
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