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1760954960
KIRK P FOWLER
CHEHALIS, WA
NPI
1760954960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60625039)
Enumeration Date
2018-12-28
Last Update Date
2024-03-07
Business Address
KIRK P FOWLER CDP
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-4339
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Mailing Address
KIRK P FOWLER CDP
2321 W DAYTON AIRPORT RD
SHELTON, WA 98584-6319
Phone number:
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