Individual
MRS. EMILY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N KAYS DR STE C, NORMAL, IL 61761-1979
(309) 807-5077
(309) 214-9679
Mailing address
405 N KAYS DR STE C, NORMAL, IL 61761-1979
(309) 822-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112459
IL
Other
Enumeration date
11/13/2023
Last updated
08/29/2024
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