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1700210101
CHERISSE A FOWLES
LOGANVILLE, GA
NPI
1700210101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP 008253)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
Ms. CHERISSE A FOWLES
652 HOPE HOLLOW LN
LOGANVILLE, GA 30052-6213
Phone number: 866-770-7294
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Mailing Address
Ms. CHERISSE A FOWLES
2877 DEERWOOD DR SW
ATLANTA, GA 30331-5506
Phone number: 678-522-7155
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