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Individual
LEAH ANNE FOWLKES-MILLER
Active
Individual
LEAH ANNE FOWLKES-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15604
TX
106H00000X
Marriage & Family Therapist
4905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028024002
—
TX
Enumeration date
02/13/2007
Last updated
07/01/2008
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