Individual
HARLY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 PATTON RD, GREAT BEND, KS 67530-3120
(620) 792-4087
Mailing address
1312 PATTON RD, GREAT BEND, KS 67530-3120
(620) 792-4087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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