Individual
NALA EBONI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HOPE AVE, WORCESTER, MA 01603-2212
(508) 983-1359
Mailing address
14 LINDSEY ST, BOSTON, MA 02124-1310
(617) 704-8881
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NON MEDICARE
—
Enumeration date
09/07/2021
Last updated
09/07/2021
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