Individual
CHARLISA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(404) 606-6165
Mailing address
259 HOPE HOLLOW RD, LOGANVILLE, GA 30052-2219
(404) 606-6165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009738
GA
1041C0700X
Clinical Social Worker
CSW009531
GA
Other
Enumeration date
12/19/2020
Last updated
09/15/2025
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