Individual
MS. SHARON DIANE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 690-0860
Mailing address
20521 KENTFIELD ST, DETROIT, MI 48219-1426
(313) 690-0860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-01750
MI
Other
Enumeration date
11/19/2017
Last updated
03/17/2018
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