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Individual

PAMELA FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 MOUNT MORIAH, TENNILLE, GA 31089-3660
(717) 495-8622
Mailing address
1025 MOUNT MORIAH, TENNILLE, GA 31089-3660
(717) 495-8622

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8390
103K00000X
Behavior Analyst

Other

Enumeration date
08/03/2012
Last updated
05/21/2024
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