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Individual

JOELENE FAYE WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHS

Contact information

Practice address
905 NEBRASKA AVE, TOLEDO, OH 43607-4222
(419) 255-4050
(419) 244-5151
Mailing address
905 NEBRASKA AVE, TOLEDO, OH 43607-4222
(419) 255-4050
(419) 244-5151

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
OH
Enumeration date
10/11/2017
Last updated
10/11/2017
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