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Individual

MICHAEL FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
4616 QUARRY CIR, FORT WORTH, TX 76244-7903
(817) 707-0772
Mailing address
4616 QUARRY CIR, FORT WORTH, TX 76244-7903
(817) 707-0772

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203354
TX

Other

Enumeration date
10/26/2018
Last updated
09/14/2021
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