Individual
ROGER JOHN K WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1692 ORRICK ST, EWA BEACH, HI 96706-2096
(808) 216-9740
Mailing address
91-1692 ORRICK ST, EWA BEACH, HI 96706-2096
(808) 216-9740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4979
HI
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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