Individual
MANDY FOWLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2735 E TUDOR RD, ANCHORAGE, AK 99507-1135
(907) 562-7900
(907) 562-7901
Mailing address
2735 E TUDOR RD, ANCHORAGE, AK 99507-1135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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