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1417475435
GEOFFREY FOWLER
LEESBURG, VA
NPI
1417475435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810006348)
Enumeration Date
2017-08-30
Last Update Date
2023-10-14
Business Address
GEOFFREY FOWLER Psy.D
199 LIBERTY ST SW
LEESBURG, VA 20175-2715
Phone number: 703-621-7121
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Mailing Address
GEOFFREY FOWLER Psy.D
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116-2744
Phone number: 804-207-6737
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