Individual
TAMARA MICHELLE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 1ST AVE W APT 16, ALABASTER, AL 35114-9731
(205) 643-5857
Mailing address
2101 1ST AVE W APT 16, ALABASTER, AL 35114-9731
(205) 643-5857
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-96621
AL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
10/14/2012
Last updated
03/19/2024
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