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1154070894
JIM WAYNE FOWLER
WAXAHACHIE, TX
NPI
1154070894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 6944)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
JIM WAYNE FOWLER LPC
101 CARRIAGE DR
WAXAHACHIE, TX 75165-6502
Phone number: 214-912-9538
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Mailing Address
JIM WAYNE FOWLER LPC
101 CARRIAGE DR
WAXAHACHIE, TX 75165-6502
Phone number: 214-912-9538
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