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Organization

479 WATT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENMAR YONDRA WATTERSON CPRS (PEER SUPPORT)
(513) 549-3095
Entity
Organization

Contact information

Practice address
3970 CARRIE AVE, CINCINNATI, OH 45211-3412
(513) 549-3095
Mailing address
3970 CARRIE AVE, CINCINNATI, OH 45211-3412
(513) 549-3095

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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