Individual
MRS. KATHY BOYETTE-WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 MEDICAL DR, SUITE A & B, HAMPTON, VA 23666-1769
(757) 788-0600
(757) 788-0932
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0092
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007603
VA
Other
Enumeration date
08/04/2011
Last updated
04/10/2012
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