Individual
MRS. ALICIA MURIEL FOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 385-6628
Mailing address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 385-6628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1947
ME
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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