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1992274542
SIERRA ROSE FOWZER
SOUTH LAKE TAHOE, CA
NPI
1992274542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-13
Last Update Date
2023-05-23
Business Address
SIERRA ROSE FOWZER
2580 LAKE TAHOE BLVD STE D
SOUTH LAKE TAHOE, CA 96150
Phone number: 530-626-3105
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Mailing Address
SIERRA ROSE FOWZER
2580 LAKE TAHOE BLVD STE D
SOUTH LAKE TAHOE, CA 96150-7723
Phone number:
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