Individual
MICHAEL DARRELL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0374
Mailing address
141 CASH DR, LAGRANGE, GA 30241-8421
(706) 223-8265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4808C
AL
1041C0700X
Clinical Social Worker
CSW008597
GA
Other
Enumeration date
05/16/2019
Last updated
02/28/2025
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