MARY LESLIE WILSON FOWLER

GRENADA, MS
NPI1598916280
Former NameMARY LESLIE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MS  1157)
Enumeration Date2008-10-01
Last Update Date2008-10-01
Business Address
-- MARY LESLIE WILSON FOWLER LPC
1800 HILL DR STE E
GRENADA, MS 38901-5071
Phone number: 662-582-3193
Mailing Address
-- MARY LESLIE WILSON FOWLER LPC
403 COLLEGE ST
WINONA, MS 38967-1832
Phone number: 662-582-3193