Shanetra Fowler

NPI #1215499785 in Lockhart, Texas

Provider Information

NPI Number: 1215499785
Entity Type: Individual
Name: Shanetra Fowler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 896 ROBIN RANCH RD
City: Lockhart
State: Texas
ZIP Code: 78644-4578
Phone: (512) 376-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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