Individual
MRS. KEYA WILLIAMS FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-6179
(866) 372-1501
Mailing address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-6179
(866) 372-1501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
570362584
SC
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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