MRS. Jackie Lynn Fowler

NPI #1710277520 in Norwalk, California

Provider Information

NPI Number: 1710277520
Entity Type: Individual
Name: MRS. Jackie Lynn Fowler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 13, 2011
Last Updated: May 26, 2011

Practice Location

Address: 12440 E. FIRESTONE BLVD.
Address 2: STE. 1000
City: Norwalk
State: California
ZIP Code: 90650-4448
Phone: (562) 864-3722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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