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Individual

LATISHA M FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
68 W CHURCH ST STE 318, NEWARK, OH 43055-5050
(740) 281-1777
(740) 281-1778
Mailing address
3850 WESLEY CHAPEL RD, ZANESVILLE, OH 43701-7158
(740) 221-5085
(740) 281-1778

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211419
OH
Enumeration date
04/23/2010
Last updated
07/21/2022
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