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Individual

DR. ANGIE LORRAINE WATSON-GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DSW, DAC, LCSW

Contact information

Practice address
2500 RIKE DR, PINE BLUFF, AR 71603-3937
(870) 534-1834
(870) 534-5798
Mailing address
5902 DEERWOOD DR, TEXARKANA, AR 71854-8323
(318) 404-4734

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28756
IN
1041C0700X
Clinical Social Worker
Primary
5883
LA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952846313
LA
05
278739719
AR
Enumeration date
09/30/2013
Last updated
02/22/2022
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