Individual
CHARLENE G WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00006604
WA
104100000X
Social Worker
LW00006604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316967540
—
WA
Enumeration date
07/20/2006
Last updated
11/12/2015
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