Individual
JERRI ANNETTE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1187 WADE RD, CROFTON, KY 42217-8239
(270) 269-2326
Mailing address
1187 WADE RD, CROFTON, KY 42217-8239
(270) 839-3886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1513
KY
Other
Enumeration date
01/21/2009
Last updated
03/02/2020
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