Individual
JESSICA A FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 BURRS RD STE A&B, WESTAMPTON, NJ 08060-5517
(609) 261-0240
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06278000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05888700
NJ
Other
Enumeration date
06/21/2017
Last updated
09/13/2024
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