Individual
CONNIE A WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
108 E 2ND AVE, MEDICINE LODGE, KS 67104-1306
(620) 213-1016
Mailing address
205 S WALNUT ST, MEDICINE LODGE, KS 67104-1418
(620) 213-1016
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
288
KS
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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