Individual
MR. IAN COLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4413 71ST ST STE G101, LUBBOCK, TX 79424-2319
(806) 412-4721
(806) 500-2935
Mailing address
3513 50TH ST, LUBBOCK, TX 79413-4003
(806) 438-8089
(806) 500-2935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63469
TX
1041C0700X
Clinical Social Worker
8479
OK
Other
Enumeration date
09/18/2017
Last updated
09/18/2024
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