Stacy Fowler, LMSW

NPI #1922812163 in Fenton, Missouri

Provider Information

NPI Number: 1922812163
Entity Type: Individual
Name: Stacy Fowler, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 6, 2025
Last Updated: Feb 6, 2025

Practice Location

Address: 1395 N HIGHWAY DR
City: Fenton
State: Missouri
ZIP Code: 63026-1929
Phone: (407) 810-8531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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