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1952767568
CARLA CASSANDRAS FOWLER
SPARTANBURG, SC
NPI
1952767568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
CARLA CASSANDRAS FOWLER
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
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Mailing Address
CARLA CASSANDRAS FOWLER
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
Copy
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