Individual
DEMETRUIS RENEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 N BROADWAY STE 204, LEXINGTON, KY 40505-3157
(859) 412-1445
Mailing address
3507 LYNHAVEN DR, GREENSBORO, NC 27406-7105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258957
KY
1041C0700X
Clinical Social Worker
P006989
NC
Other
Enumeration date
12/03/2012
Last updated
07/26/2024
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