Individual
CAROLYN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 W 4TH ST, SUITE 100, ONTARIO, OH 44906-2565
(419) 774-5520
Mailing address
890 W 4TH ST, SUITE 100, ONTARIO, OH 44906-2565
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
MM1000122
OH
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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