Individual
ANGELA MARIE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5031 PARK LAKE RD, MEDIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS, EAST LANSING, MI 48823
(517) 332-0811
(517) 332-4452
Mailing address
2310 LOCKWOODE CT, HOLT, MI 48842
(517) 694-0257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089159
MI
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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