Individual
PAMELA GAIL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
61 RIVER HEIGHTS DR, WAKEFIELD, RI 02879-3811
(401) 789-2664
Mailing address
61 RIVER HEIGHTS DR, WAKEFIELD, RI 02879-3811
(401) 789-2664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00951
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW00951
SOCIAL WORK LICENCE
RI
Enumeration date
08/05/2006
Last updated
07/08/2007
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