Individual
JIMMY TONEY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2204 4TH ST NE, CANTON, OH 44704-2116
(330) 546-8087
Mailing address
2204 4TH ST NE, CANTON, OH 44704-2116
(330) 546-8087
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
OH
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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