Individual
HILARY FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 PROGRESS RD, ELLIJAY, GA 30540-5504
(706) 253-1112
(706) 253-1120
Mailing address
1179 PROGRESS RD, ELLIJAY, GA 30540-5504
(706) 253-1112
(706) 253-1120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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