Individual
MANDI FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14669 BEL AIRE EST, COKER, AL 35452-3517
(205) 310-4822
Mailing address
14669 BEL AIRE EST, COKER, AL 35452-3517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2297C
AL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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