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Individual

MRS. TAMMIE FOWLES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
803 CHARLESTON HWY, WEST COLUMBIA, SC 29169-6110
(803) 873-1497
Mailing address
803 CHARLESTON HWY, WEST COLUMBIA, SC 29169-6110
(803) 873-1497

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5624
SC

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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