Individual
MR. STEPHEN CRAIG FOWLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
839 CRYSTAL BAY LN, LEAGUE CITY, TX 77573-6385
(832) 364-5753
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111607
TX
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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