Individual
BENJAMIN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW - CP
Contact information
Practice address
100 YORKTOWNE ST, FORT MILL, SC 29715-2164
(803) 412-6687
Mailing address
100 YORKTOWNE ST, FORT MILL, SC 29715-2164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14346
SC
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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