Individual
GINIFER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1404 E AVALON AVE STE C, TUSCUMBIA, AL 35674-1771
(256) 702-0122
Mailing address
2472 CHISHOLM RD, FLORENCE, AL 35630-1307
(407) 928-1712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2021
Last updated
05/29/2021
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