| 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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