Individual
SHANNON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2943 S 94TH EAST AVE, TULSA, OK 74129-6830
(918) 660-8121
Mailing address
2943 S 94TH EAST AVE, TULSA, OK 74129-6830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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