CAROL FOWLKES

GARDENA, CA
NPI1306328281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  118545)
Additional Taxonomies101YM0800X Counselor, Mental Health
1041C0700X Social Worker, Clinical
(Licence: CA  ASW99662)
225400000X Rehabilitation Practitioner
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-09-06
Last Update Date2024-09-10
Business Address
CAROL FOWLKES
879 W 190TH ST
GARDENA, CA 90248-4220
Phone number: 310-323-6887
Mailing Address
CAROL FOWLKES
879 W 190TH ST STE 300
GARDENA, CA 90248-4223
Phone number: 310-323-6887