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Individual
MRS. T LANETTE WATSON
Active
Individual
MRS. T LANETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4651
LA
231HA2400X
Assistive Technology Practitioner Audiologist
4651
LA
231HA2500X
Assistive Technology Supplier Audiologist
4651
LA
237600000X
Audiologist-Hearing Aid Fitter
4651
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158844
—
LA
Enumeration date
05/23/2005
Last updated
05/08/2008
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