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1063061380
BEVERLY LYNN FOWLER
LEWISTON, ID
NPI
1063061380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 5685)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
BEVERLY LYNN FOWLER LPC, ACADC
1020 MAIN STREET
LEWISTON, ID 83501-1842
Phone number: 208-750-1000
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Mailing Address
BEVERLY LYNN FOWLER LPC, ACADC
1020 MAIN STREET
LEWISTON, ID 83501-1842
Phone number: 208-750-1000
Copy
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