DERRICK FOWLER

ROCK HILL, SC
NPI1073069597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-08-26
Last Update Date2016-08-26
Business Address
-- DERRICK FOWLER
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-324-1800
Mailing Address
-- DERRICK FOWLER
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-324-1800
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