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1518516715
MICHELLE LYN PENFIELD FOWLER
MESA, AZ
NPI
1518516715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-17978)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MICHELLE LYN PENFIELD FOWLER MA, LAC
3048 E BASELINE RD STE 107
MESA, AZ 85204-7287
Phone number: 480-779-9155
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Mailing Address
MICHELLE LYN PENFIELD FOWLER MA, LAC
4132 E JUANITA AVE
GILBERT, AZ 85234-0344
Phone number: 480-779-9155
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