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1073069597
DERRICK FOWLER
ROCK HILL, SC
NPI
1073069597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- DERRICK FOWLER
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-324-1800
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Mailing Address
-- DERRICK FOWLER
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-324-1800
Copy
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