Individual
MS. MALIA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 S 2ND ST, CABOT, AR 72023-3347
(501) 328-3274
Mailing address
1122 S 2ND ST, CABOT, AR 72023-3347
(501) 328-3274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1704198
AR
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
12/18/2013
Last updated
07/19/2024
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