Individual
MARY LYNN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
704 THOMAS CT, ANN ARBOR, MI 48103-3449
(734) 668-8687
Mailing address
704 THOMAS CT, ANN ARBOR, MI 48103-3449
(734) 668-8687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01078708
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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