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Individual

DR. JODY GARCIA-FOWLKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP

Contact information

Practice address
555 W WACKERLY ST STE 3625, MIDLAND, MI 48640-4715
(989) 832-4202
Mailing address
518 CHARING CROSS DR, GRAND BLANC, MI 48439-1540
(248) 308-6510

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6351004625
MI
103TC0700X
Clinical Psychologist
6301016828
MI
103TC0700X
Clinical Psychologist
Primary
6351004625
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6351004625
MI
103TH0004X
Health Psychologist
6351004625
MI

Other

Enumeration date
08/23/2016
Last updated
02/21/2025
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