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Individual

MRS. LISA MARIE FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSP

Contact information

Practice address
441 LANCASTER FARM RD, ALPHABET SOUP THERAPY, ROEBUCK, NC 29376
(864) 205-1410
Mailing address
548 ASBURY NEELY WAY, ROEBUCK, SC 29376
(864) 415-3206

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2766
SC

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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