Latosha Fowlkes's National Provider Identifier (NPI) Details
Latosha Fowlkes, LCSW
NPI: 1831690593
Enumeration Date: 2018-02-27
Last updated: 2025-01-02
Sole Proprietor: YES
Status: active
Postal Address: 1260 LYNFIELD PL, SAINT LOUIS, MO
Phone: 314-565-6822
Primary Practice Address: 1260 LYNFIELD PL, SAINT LOUIS, MO
Practice's phone: 314-565-6822