Individual
MS. GRACIELA M FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3528 SW 17TH ST, MIAMI, FL 33145-1798
(305) 443-0178
Mailing address
3528 SW 17TH ST, MIAMI, FL 33145-1798
(305) 443-0178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6375
FL
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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