Individual
MRS. KRISTIN C FOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 MICHAEL TOWNSEND CT, NEWARK, DE 19702-1140
(801) 824-6037
(302) 368-1662
Mailing address
11 MICHAEL TOWNSEND CT, NEWARK, DE 19702-1140
(801) 824-6037
(302) 368-1662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010600831
DE
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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