CRYSTAL LORRAINE FOWLKES

NORFOLK, VA
NPI1386356236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
CRYSTAL LORRAINE FOWLKES BT
6325 N CENTER DR STE 121
NORFOLK, VA 23502-0012
Phone number: 757-901-0646
Mailing Address
CRYSTAL LORRAINE FOWLKES BT
5812 DUNKIRK ST
PORTSMOUTH, VA 23703-3128
Phone number: 757-578-6003