Individual
MRS. CANDICE MARIE WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ED.
Contact information
Practice address
420 DEANNE AVENUE, NEWCASTLE, WY 82701
(307) 746-4456
Mailing address
PO BOX 70, UPTON, WY 82730-0070
(307) 746-8635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1003
WY
Other
Enumeration date
01/11/2013
Last updated
10/19/2017
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