Individual
TYEISHA MICHELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 S DUPONT HWY, DOVER, DE 19901-4468
(302) 570-2980
Mailing address
911 S DUPONT HWY, DOVER, DE 19901-4468
(302) 570-2980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
Q3-0011345
DE
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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