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Individual

DR. GLEN HAROLD WATSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
FLORIDA STATE HOSPITAL, BUILDING 1000, CHATTAHOOCHEE, FL 32324-1000
(850) 663-7807
Mailing address
2491 ELFINWING LN, TALLAHASSEE, FL 32309-7008
(850) 383-2802

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003300
FL

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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