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Individual

MARY C WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1635 BLUE SPRUCE DR, FORT COLLINS, CO 80524-5427
(970) 494-4040
(970) 494-4076
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
344
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07003445
CO
Enumeration date
03/20/2007
Last updated
07/08/2007
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