Individual
MR. BRUCE ROBERT WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1687 ERRINGER RD, STE. 202B, SIMI VALLEY, CA 93065-6508
(805) 526-8534
Mailing address
6144 FREMONT CIRCLE, CAMARILLO, CA 93012
(805) 373-0233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 5676
CA
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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