Individual
MR. ELDON WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
601 HAMMONDS LN, BALTIMORE, MD 21225-3330
(443) 974-6279
Mailing address
708 218TH ST, PASADENA, MD 21122-1310
(410) 437-2630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04963
MD
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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