Organization
FOWLER C. JONES, ED D LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOWLER C JONES, LLC EDD (OWNER)
(816) 931-9912
Entity
Organization
Contact information
Practice address
411 NICHOLS RD, SUITE 217, KANSAS CITY, MO 64112
(816) 931-9912
(816) 931-9912
Mailing address
411 NICHOLS RD, SUITE 217, KANSAS CITY, MO 64112
(816) 931-9912
(816) 931-9912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000952
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496668229
—
MO
Enumeration date
12/30/2008
Last updated
06/25/2009
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