DIANE FOWLER

CHARLOTTE, NC
NPI1205242518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2747)
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
-- DIANE FOWLER CSAC
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
Mailing Address
-- DIANE FOWLER CSAC
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001