Individual
ALEEZA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(800) 888-9270
Mailing address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
02/28/2019
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