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1780736991
SALLY A FOWLER
JACKSONVILLE, FL
NPI
1780736991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5174)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- SALLY A FOWLER LCSW
3601 HENDRICKS AVENUE
JACKSONVILLE, FL 32207
Phone number: 904-396-2666
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Mailing Address
-- SALLY A FOWLER LCSW
3601 HENDRICKS AVENUE
JACKSONVILLE, FL 32207
Phone number: 904-396-2666
Copy
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