Individual
LAWRENCE E. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5147
(318) 676-5137
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5147
(318) 676-5137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1719
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4429
—
LA
Enumeration date
01/29/2007
Last updated
07/09/2007
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