Individual
MACKENZEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2095
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14366839
WV
235Z00000X
Speech-Language Pathologist
Primary
2276
WV
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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