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1386158962
SHARON DIANE FOWLER
DETROIT, MI
NPI
1386158962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI c-01750)
Enumeration Date
2017-11-19
Last Update Date
2018-03-17
Business Address
Ms. SHARON DIANE FOWLER
5555 CONNER ST
DETROIT, MI 48213-3448
Phone number: 313-690-0860
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Mailing Address
Ms. SHARON DIANE FOWLER
20521 KENTFIELD ST
DETROIT, MI 48219-1426
Phone number: 313-690-0860
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