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1578001806
FREDERICK FOWLE
CHARLOTTE, NC
NPI
1578001806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC CSAC-21797)
Enumeration Date
2017-02-07
Last Update Date
2017-02-07
Business Address
-- FREDERICK FOWLE CSAC
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
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Mailing Address
-- FREDERICK FOWLE CSAC
100 BILLINGSLEY RD
CHARLOTTE, NC 28211-1002
Phone number: 704-376-7447
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