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Individual

SUMMER L FOWLKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LBS

Contact information

Practice address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
(215) 871-9902
Mailing address
1104 MCKINLEY ST, PHILADELPHIA, PA 19111-5832

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004062
PA

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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