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1083240444
CHENIKA FOWLER
MEDFORD, OR
NPI
1083240444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2020-03-18
Last Update Date
2024-08-26
Business Address
CHENIKA FOWLER
850 SWING LN UNIT 1
MEDFORD, OR 97501-1790
Phone number: 541-622-8592
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Mailing Address
CHENIKA FOWLER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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