Individual
MRS. MATTIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 GILLESPIE RD, CHATTANOOGA, TN 37411-1516
(423) 355-5200
(423) 355-5201
Mailing address
1119 GILLESPIE RD, CHATTANOOGA, TN 37411-1516
(423) 355-5200
(423) 355-5201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1V609C
TN
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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