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1760952212
DIANE FOWLER
SNELLVILLE, GA
NPI
1760952212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA slp001057)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
DIANE FOWLER Slp
2295 HENRY CLOWER BLVD STE 100
SNELLVILLE, GA 30078-5707
Phone number: 770-995-9600
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Mailing Address
DIANE FOWLER Slp
2295 HENRY CLOWER BLVD STE 100
SNELLVILLE, GA 30078-5707
Phone number: 770-995-9600
Copy
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