Individual
BENETTA KOKO DOUSUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 JB WISE PL, WATERTOWN, NY 13601-2507
(315) 782-7445
Mailing address
1704 STATE ST, WATERTOWN, NY 13601-3102
(315) 782-7445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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