Individual
MRS. JODI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
(304) 348-7740
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0711
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401004000
—
WV
Enumeration date
10/26/2007
Last updated
10/26/2007
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