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Individual

MR. KENNETH LAMONT WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CADC

Contact information

Practice address
1423 KIRKWOOD HIGHWAY & POLLY DRUMMOND RD, SUITES 3304 &3305, NEWARK, DE 19701
(302) 454-7520
(302) 454-7524
Mailing address
1423 KIRKWOOD HIGHWAY & POLLY DRUMMOND RD, BUILDING 3, NEWARK, DE 19701
(302) 454-7520
(302) 454-7524

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
498 CADC
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DCB 498
CADC
DE
Enumeration date
03/12/2007
Last updated
07/08/2007
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