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Individual

MS. CHERISSE A FOWLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
652 HOPE HOLLOW LN, LOGANVILLE, GA 30052-6213
(866) 770-7294
Mailing address
2877 DEERWOOD DR SW, ATLANTA, GA 30331-5506
(678) 522-7155

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 008253
GA

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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