MS. Antoinette M Fowler, NONE

NPI #1972263317 in Detroit, Michigan

Provider Information

NPI Number: 1972263317
Entity Type: Individual
Name: MS. Antoinette M Fowler, NONE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: NONE
Enumeration Date: Dec 27, 2021
Last Updated: Dec 27, 2021

Practice Location

Address: 7375 WOODWARD AVE STE 2800
City: Detroit
State: Michigan
ZIP Code: 48202-3157
Phone: (248) 599-1582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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