Individual
KIMBERLY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
170 SMITHFIELD DR, JACKSON, TN 38305-1817
(731) 300-1117
Mailing address
1000 URBAN CENTER DR STE 600, VESTAVIA, AL 35242-2584
(205) 208-9312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6216
TN
Other
Enumeration date
01/27/2007
Last updated
05/21/2021
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