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1255602470
MARIE ANTOINETTE FOWLER
VICTORVILLE, CA
NPI
1255602470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 23905)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
-- MARIE ANTOINETTE FOWLER LCSW
15000 7TH ST SUITE 103
VICTORVILLE, CA 92395-3852
Phone number: 760-490-7974
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Mailing Address
-- MARIE ANTOINETTE FOWLER LCSW
14040 PARK AVE
VICTORVILLE, CA 92392-2415
Phone number: 760-241-3744
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