CEPHUS RONNELL FOWLER

VALLEJO, CA
NPI1629139464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  MCF29966)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
MR. CEPHUS RONNELL FOWLER LMFT
228 BROADWAY ST
VALLEJO, CA 94590-4519
Phone number: 707-553-5331
Mailing Address
MR. CEPHUS RONNELL FOWLER LMFT
1657 MORAGA DR
FAIRFIELD, CA 94534-3320
Phone number: 707-553-5331
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