Individual
MS. AMIA R WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 SIJAN AVE, WHITEMAN AFB, MO 65305
(660) 687-4341
Mailing address
PO BOX 24, PLEASANT HILL, MO 64080-0024
(816) 679-9156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MT761
MT
Other
Enumeration date
03/26/2012
Last updated
11/22/2021
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