Individual
MR. KENNETH PAUL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP, QIDP, SST
Contact information
Practice address
2715 S TOWNLINE RD, HOUGHTON LAKE, MI 48629-9294
(231) 620-8319
(989) 366-9420
Mailing address
2715 S TOWNLINE RD, HOUGHTON LAKE, MI 48629-9294
(231) 620-8319
(989) 366-9420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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