Individual
KATHRYN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2691
Mailing address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134958
PA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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