Individual
WILLIAM DEE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
19 OLD TOWN SQ STE 238, FORT COLLINS, CO 80524-2471
(720) 575-2953
Mailing address
1301 SILK OAK DR, FORT COLLINS, CO 80525-5597
(334) 750-5902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09925375
CO
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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