Mary Lu Fowler
NPI #1487942397 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1487942397
- Entity Type
- Individual
- Name
- Mary Lu Fowler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 12, 2011
- Last Updated
- Dec 1, 2011
Practice Location
- Address
- 2520 W MAIN ST
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-4214
- Phone
- (501) 982-0528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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