KENNITH WAYNE FOWLER

SEATTLE, WA
NPI1578160610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60311706)
Enumeration Date2020-10-01
Last Update Date2020-10-01
Business Address
Mr. KENNITH WAYNE FOWLER CP 60311706
901 RAINIER AVE S
SEATTLE, WA 98144-2839
Phone number: 206-470-3856
Mailing Address
Mr. KENNITH WAYNE FOWLER CP 60311706
7700 RAINIER AVE S APT 405
SEATTLE, WA 98118-4163
Phone number: 206-229-9048
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