Individual
GREGORY HATCH FOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
2072 N MAIN ST STE 101, NORTH LOGAN, UT 84341-1778
(435) 752-4646
Mailing address
2072 N MAIN ST STE 101, NORTH LOGAN, UT 84341-1778
(435) 752-4646
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8098373-3904
UT
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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