Individual
JESSICA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
Mailing address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
11/30/2016
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