Individual
MS. CARLY GRACE VOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 LENAPE RD, WEST CHESTER, PA 19382-6801
(610) 793-1212
Mailing address
261 INDIAN RUN ST UNIT 4212, EXTON, PA 19341-3719
(410) 487-1297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016916
PA
390200000X
Student in an Organized Health Care Education/Training Program
2204000411
VA
Other
Enumeration date
10/02/2019
Last updated
04/17/2023
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