Individual
MRS. MICHELLE RENEE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
618 PARSONS RD, CHRISTIANA, TN 37037-6128
(615) 898-7592
Mailing address
618 PARSONS RD, CHRISTIANA, TN 37037-6128
(615) 898-7592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004066
TN
Other
Enumeration date
06/01/2009
Last updated
01/20/2020
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