Individual
STASHA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(678) 561-5066
Mailing address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(678) 561-5066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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