Individual
GREGORY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOPE DR, TUSTIN, CA 92782-0221
(174) 247-4300
(714) 566-6470
Mailing address
1 HOPE DR, TUSTIN, CA 92782-0221
(174) 247-4300
(714) 566-6470
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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