Individual
MS. SARAN CHARISSE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31101 ALLEN RD, BUILDING 5, SOUTHGATE, MI 48195
(616) 818-6639
Mailing address
31160 WILDWOOD ST APT 5210, WIXOM, MI 48393-2628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
10/18/2018
Last updated
09/18/2019
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