Individual
BENJAMIN D FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 E ST STE B, DAVIS, CA 95616-4523
(530) 206-9996
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
76696
CA
1041C0700X
Clinical Social Worker
Primary
LCSW76696
CA
Other
Enumeration date
05/29/2012
Last updated
05/06/2026
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