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Individual

BEVERLY SHARON WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 CHESTNUT ST, KINGMAN, AZ 86401-5615
(928) 293-1884
Mailing address
211 CHESTNUT ST, KINGMAN, AZ 86401-5615
(928) 293-1884

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Enumeration date
05/02/2021
Last updated
05/02/2021
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