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Individual

MRS. ANGELA VALERIANO FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8339 CHURCH ST, STE. 105, GILROY, CA 95020-4453
(408) 848-3331
(408) 848-3354
Mailing address
8339 CHURCH ST, STE. 105, GILROY, CA 95020-4453
(408) 848-3331
(408) 848-3354

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 41723
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026287
VMC PIN
CA
01
356728
MHN PIN
CA
Enumeration date
08/19/2006
Last updated
07/08/2007
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