Organization
R GLEN WATSON, LCSW INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY GLEN WATSON (PRESIDENT)
(907) 479-0411
Entity
Organization
Contact information
Practice address
250 CUSHMAN ST, SUITE 3-E, FAIRBANKS, AK 99701-4640
(907) 479-0411
Mailing address
250 CUSHMAN ST, SUITE 3-E, FAIRBANKS, AK 99701-4640
(907) 479-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
161
AK
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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