Individual
CARLEEN Z WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 COLONY RD, NEWPORT NEWS, VA 23602-6310
(757) 886-7778
Mailing address
814 SHEFFIELD ST, HAMPTON, VA 23666-1976
(757) 876-3629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005964
VA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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