Individual
MS. SUE ELLEN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1825 E BROADWAY ST, FORREST CITY, AR 72335-3409
(870) 630-2328
(870) 630-2348
Mailing address
1825 E BROADWAY ST, FORREST CITY, AR 72335-3409
(870) 630-2328
(870) 630-2348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003003
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3922857
—
TN
Enumeration date
09/13/2006
Last updated
07/09/2007
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