Lara Fowler

NPI #1972133395 in Conrad, Montana

Provider Information

NPI Number: 1972133395
Entity Type: Individual
Name: Lara Fowler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 24, 2020
Last Updated: Apr 24, 2023

Practice Location

Address: 600 S MAIN ST STE 10
City: Conrad
State: Montana
ZIP Code: 59425-2532
Phone: (406) 201-9414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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