Individual
DOMINIQUE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 KINSFOLK CIR, RALEIGH, NC 27610-3091
(919) 696-1708
Mailing address
1311 KINSFOLK CIR, RALEIGH, NC 27610-3091
(919) 696-1708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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