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Individual

CHARLES W. WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1911 S NATIONAL AVE, SUITE 407, SPRINGFIELD, MO 65804-2219
(417) 234-9987
Mailing address
1911 S NATIONAL AVE, SUITE 407, SPRINGFIELD, MO 65804-2219
(417) 234-9987

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01741
MO

Other

Enumeration date
06/30/2005
Last updated
08/13/2007
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