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Individual

DAMON WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Mailing address
1824 BONNYCASTLE AVE APT 3, LOUISVILLE, KY 40205-1017

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/01/2014
Last updated
07/01/2014
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