Individual
RACHEL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 282-2426
Mailing address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 282-2426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1786
WV
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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