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1104589498
PHOENIX K FOWLER
LOUISVILLE, KY
NPI
1104589498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 256081)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
PHOENIX K FOWLER LCSW
11103 PARK RD
LOUISVILLE, KY 40223-2424
Phone number: 502-589-8600
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Mailing Address
PHOENIX K FOWLER LCSW
10401 LINN STATION RD STE 100
LOUISVILLE, KY 40223-3842
Phone number:
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