Amanda Fowler, LSW

NPI #1518484054 in Lisbon, Ohio

Provider Information

NPI Number: 1518484054
Entity Type: Individual
Name: Amanda Fowler, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 25, 2017
Last Updated: Aug 25, 2017

Practice Location

Address: 40722 STATE ROUTE 154
City: Lisbon
State: Ohio
ZIP Code: 44432-8500
Phone: (330) 424-9573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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