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Individual

ABIGAIL FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFTA, MHP

Contact information

Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 612-0741
Mailing address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(206) 612-0741

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MG60312341
WA

Other

Enumeration date
03/17/2015
Last updated
03/17/2015
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