Individual
MARC FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7733
(425) 408-7740
Mailing address
311 13TH AVE E APT 6, SEATTLE, WA 98102-6103
(646) 853-3970
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
60680511
WA
Other
Enumeration date
03/09/2016
Last updated
10/31/2017
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