GLENN FOWLKES

FARMVILLE, VA
NPI1760881080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  0701005616)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
-- GLENN FOWLKES LPC
1 MILL ST #102
FARMVILLE, VA 23901-3401
Phone number: 434-298-7318
Mailing Address
-- GLENN FOWLKES LPC
2114 ORCHARD RD
BURKEVILLE, VA 23922-3524
Phone number:
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