Mary Fowler's National Provider Identifier (NPI) Details
Mary Fowler, P-LPC
NPI: 1497468847
Enumeration Date: 2022-12-30
Last updated: 2022-12-30
Sole Proprietor: NO
Status: active
Postal Address: 5915 GETWELL RD BLDG B, SOUTHAVEN, MS
Phone: 662-349-2979
Primary Practice Address: 5915 GETWELL RD BLDG B, SOUTHAVEN, MS
Practice's phone: 662-349-2979