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Individual

MRS. BRENDA MARIE FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSCP

Contact information

Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 563-2045
Mailing address
409 E HARVARD AVE, ANCHORAGE, AK 99501-1143
(907) 277-9045

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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