Individual
MRS. BETTY JEAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA, MHPP
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Mailing address
2335 LAKE REST RD, PROCTOR, AR 72376-9793
(870) 735-8152
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
AR
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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