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1174277222
JACKELINE FOWLER
NORTH LITTLE ROCK, AR
NPI
1174277222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 10053-M)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
JACKELINE FOWLER LMSW
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-520-7230
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Mailing Address
JACKELINE FOWLER LMSW
1706 WAGON WHEEL DR
LITTLE ROCK, AR 72211-4172
Phone number: 501-520-7230
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