Individual
MICHAEL WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 3RD ST NE, CARROLLTON, OH 44615-1236
(330) 627-8067
Mailing address
252 3RD ST NE, CARROLLTON, OH 44615-1236
(330) 627-8067
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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