Individual
MS. CARLIE KOWALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CIMI
Contact information
Practice address
491 KIMBERLY AVE APT 202, ASHEVILLE, NC 28804-2656
(828) 338-8599
Mailing address
491 KIMBERLY AVE APT 202, ASHEVILLE, NC 28804-2656
(828) 338-8599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4470
NC
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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