Individual
MRS. JENNIFER ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11723 OLD GLENN HWY, 208, EAGLE RIVER, AK 99577-7748
(405) 921-5883
Mailing address
17621 SHASTA CIR, EAGLE RIVER, AK 99577-9498
(907) 726-1394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528
AK
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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