Individual
DENISE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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