Search › Mississippi › 101YP2500X
Mary Wilson Fowler, LPC
NPI 1598916280 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1800 Hill Dr Ste E
Grenada, MS 38901 - Phone
- (662) 582-3193
- Organisation at this address
- Grenada Dental Clinic Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi