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Individual

DR. PHILIP ALLEN WATKINS

Active
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Individual

DR. PHILIP ALLEN WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC525
ME
101YP1600X
Pastoral Counselor
Primary
LP508
ME

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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