Individual
BRYAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4547
Mailing address
3515 BEEBE RD, NEWFANE, NY 14108-9658
(716) 278-4461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
068866-1
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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