Individual
ASHLEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707
(254) 313-4200
(254) 313-4549
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55474
TX
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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