Individual
CIERRA ROSE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 MORGANTOWN AVE STE 205, FAIRMONT, WV 26554-4384
(681) 404-3777
Mailing address
503 MORGANTOWN AVE STE 205, FAIRMONT, WV 26554-4384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW112216429
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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