CASEY FOWLER

VALLEJO, CA
NPI1194970533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-11-26
Last Update Date2008-11-26
Business Address
-- CASEY FOWLER
301 GEORGIA ST STE 355
VALLEJO, CA 94590-5971
Phone number: 707-558-8195
Mailing Address
-- CASEY FOWLER
301 GEORGIA ST STE 355
VALLEJO, CA 94590-5971
Phone number: 707-558-8195
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