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Individual

JAMES WOODROW WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
321 E MAIN STREET, MOREHEAD, KY 40351
(606) 784-4161
(606) 783-9952
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1813
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000355699
ANTHEM BCBS
01
1206579
CHA
05
30610026
KY
Enumeration date
07/21/2006
Last updated
05/16/2008
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