Individual
DAKEENA WHIDDEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26401 PACIFIC HWY S STE 202, DES MOINES, WA 98198-9247
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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