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Individual
MR. STUART WATKINS
Active
Individual
MR. STUART WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
167G00000X
Licensed Psychiatric Technician
204504
CO
167G00000X
Licensed Psychiatric Technician
4637
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204504
LICENSED PSYCHIATRIC TECH
CO
01
—
4637
LICENSED PSYCHIATRIC TECH
CO
Enumeration date
03/07/2007
Last updated
04/27/2012
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