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Individual

MR. J. O. WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3900 CITY AVE, MADISON D307, PHILADELPHIA, PA 19131-2908
(215) 877-7465
(215) 883-2010
Mailing address
3900 CITY AVE, MADISON D307, PHILADELPHIA, PA 19131-2908
(215) 877-7465
(215) 883-2010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/03/2007
Last updated
09/19/2022
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