Individual
MS. CALYSTA R WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 915-8200
Mailing address
340 S. LEMON AVE., #2572, WALNUT, CA 91789
(323) 735-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW78826
CA
Other
Enumeration date
09/19/2011
Last updated
07/21/2022
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