Individual
PRUDUNCE NECHELLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
603 SW 45TH ST, LAWTON, OK 73505-6809
(580) 678-2550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1208
OK
Other
Enumeration date
12/03/2013
Last updated
03/18/2021
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