DR. Michelle Snell Fowler, LMSW

NPI #1093352817 in Coram, New York

Provider Information

NPI Number: 1093352817
Entity Type: Individual
Name: DR. Michelle Snell Fowler, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Dec 1, 2019
Last Updated: Dec 1, 2019

Practice Location

Address: 356 MIDDLE COUNTRY RD STE 104
City: Coram
State: New York
ZIP Code: 11727-4433
Phone: (631) 431-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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