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1306506647
RYAN PAUL FOWLER
DECATUR, GA
NPI
1306506647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
RYAN PAUL FOWLER
1244 CLAIRMONT RD STE 204
DECATUR, GA 30030-1263
Phone number: 404-663-1650
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Mailing Address
RYAN PAUL FOWLER
3651 BONNIE GLENN LN
TUCKER, GA 30084-8302
Phone number: 404-936-4365
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