Individual
JUDITH WATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 N BROAD ST STE E # 10104, LURAY, VA 22835-1162
(571) 449-7837
(571) 449-7837
Mailing address
PO BOX 806054, SAINT CLAIR SHORES, MI 48080-6054
(571) 449-7837
(571) 449-7837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009896
—
Other
Enumeration date
06/13/2017
Last updated
07/17/2024
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