Individual
ANNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
61 MEDFORD ST STE 2, SOMERVILLE, MA 02143-3422
(617) 628-2601
(617) 628-1085
Mailing address
61 MEDFORD ST STE 2, SOMERVILLE, MA 02143-3422
(617) 628-2601
(617) 628-1085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114186
MA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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