Individual
MARY KATHLEEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OWNBY ST, LORDSBURG, NM 88045-2233
(575) 542-3252
Mailing address
500 OWNBY ST, LORDSBURG, NM 88045-2233
(575) 542-3252
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
351462
NM
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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