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Individual

ANGELA MARIE STEPHENS FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1480 FALKIRK LN NW, KENNESAW, GA 30152-6700
(678) 444-3859
Mailing address
1480 FALKIRK LN NW, KENNESAW, GA 30152-6700
(678) 355-8157

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
GA
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/20/2020
Last updated
06/24/2024
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