Individual
AMANDA STAR FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 WEST AVE, CARTERSVILLE, GA 30120-5894
(470) 227-8839
Mailing address
428 PEACHTREE LN SE, CALHOUN, GA 30701-4395
(706) 934-5467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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