Most Relevant Information
Provider Data
| NPI Number: | 1003515313 |
| Provider Name: | CODY FENWICK |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 33011168A |
Most Important Dates
| Enumeration Date: | 02/24/2023 |
| Last Updated: | 09/20/2024 |
Provider Practice Location
1133 LINCOLN AVE
EVANSVILLE
IN
477141028
Practice Location Phone/Fax
| Phone: | 8124912615 |
| Fax: |
Provider Mailing Location
1133 LINCOLN AVE
EVANSVILLE
IN
477141028
Provider Mailing Phone/Fax
| Phone: | 8124912615 |
| Fax: |