MEDICARE: TWILA JOWERS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW 9393	FL

General Provider Information

NPI Number	:	1639484777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWILA JOWERS LCSW

Provider Business Mailing Address
First Line	:	1000 WEST THARPE ST.
Second Line	:	SUITE 7
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W THARPE ST
Second Line	:	SUITE 7
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5374
Country	:	US
Telephone Number	:	850-591-3085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2010
Last Update Date	:	08/13/2010

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