Individual
NICOLE RENEE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10155 BERRY RD, WALDORF, MD 20603-3710
(301) 753-1782
Mailing address
10155 BERRY RD, WALDORF, MD 20603-3710
(301) 753-1782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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