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1205242518
DIANE FOWLER
CHARLOTTE, NC
NPI
1205242518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC 2747)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
DIANE FOWLER CSAC
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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Mailing Address
DIANE FOWLER CSAC
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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