SHYTIERA FOWLKES

BALTIMORE, MD
NPI1114496635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-11-14
Last Update Date2024-10-08
Business Address
SHYTIERA FOWLKES
1119 E MONUMENT ST
BALTIMORE, MD 21202-4119
Phone number: 443-708-3823
Mailing Address
SHYTIERA FOWLKES
3310 EASTERN AVE
BALTIMORE, MD 21224-4108
Phone number: 443-708-5056