Individual
DARIOUS WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6918 WINDSOR AVE, N/A, BERWYN, IL 60402
(708) 745-5277
Mailing address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 745-5277
(708) 795-4834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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