Individual
DIANE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2295 HENRY CLOWER BLVD STE 100, SNELLVILLE, GA 30078-5707
(770) 995-9600
Mailing address
2295 HENRY CLOWER BLVD STE 100, SNELLVILLE, GA 30078-5707
(770) 995-9600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001057
GA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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