Individual
TONI LYNN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24334 W MARK LN, WITTMANN, AZ 85361-8706
(623) 696-5948
Mailing address
24334 W MARK LN, WITTMANN, AZ 85361-8706
(623) 696-5948
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-19439
STATE OF AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
04/07/2021
Last updated
06/20/2024
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