Individual
MS. KASIE MADISON FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9900 KRAUSE RD, CHESTERFIELD, VA 23832-6535
(804) 748-1434
Mailing address
1272 ANDERSON HWY, CUMBERLAND, VA 23040-2218
(434) 607-5499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000913
VA
Other
Enumeration date
07/26/2022
Last updated
06/04/2024
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