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Organization
LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
Active
Organization
LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
Active
Other names
LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY MARIE FOWLER PSYD. (SOLE PROPRIETOR)
(509) 680-0093
Entity
Organization
Contact information
Practice address
1525 SAM RITTENBERG BLVD STE 103, CHARLESTON, SC 29407-4139
(509) 680-0093
Mailing address
939 COTTINGHAM DR, MOUNT PLEASANT, SC 29464-3501
(509) 680-0093
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
09/27/2022
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