Individual
JENNIFER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 BROADWAY ST APT 103, VANCOUVER, WA 98663
(503) 482-3896
Mailing address
1901 BROADWAY ST APT 103, VANCOUVER, WA 98663-3393
(503) 482-3896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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