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1083985394
ENDRIS FOWLER
LONG BEACH, CA
NPI
1083985394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1913685)
Enumeration Date
2012-01-18
Last Update Date
2023-08-15
Business Address
ENDRIS FOWLER
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 562-218-1868
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Mailing Address
ENDRIS FOWLER
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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