Individual
MARYANNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1331 JEFFCO BLVD, SUITE #3, ARNOLD, MO 63010-2165
(314) 456-9970
Mailing address
1331 JEFFCO BLVD, SUITE #3, ARNOLD, MO 63010-2165
(314) 456-9970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008025293
MO
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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