Carol Fowler Llc | |
3211 Sw Briar Creek Ave Bentonville AR 72712-7995 | |
(479) 220-9694 | |
Not Available |
Full Name | Carol Fowler Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3211 Sw Briar Creek Ave, Bentonville, Arkansas |
Authorized Official Name and Position | Carol Fowler (LICENSED CLIICAL SOCIAL WORKER) |
Authorized Official Contact | 4792209694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carol Fowler Llc 3211 Sw Briar Creek Ave Bentonville AR 72712-7995 Ph: (479) 220-9694 | Carol Fowler Llc 3211 Sw Briar Creek Ave Bentonville AR 72712-7995 Ph: (479) 220-9694 |
NPI Number | 1336539006 |
---|---|
Provider Enumeration Date | 02/02/2015 |
Last Update Date | 09/30/2020 |
Certification Date | 09/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336539006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1594-C (Arkansas) | Primary |
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› Verified 4 days ago
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