Individual
MS. VICKI ANNE WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
850 E CENTER ST, SUITE F, POCATELLO, ID 83201-5737
(208) 233-9205
(208) 234-3660
Mailing address
850 E CENTER ST, SUITE F, POCATELLO, ID 83201-5737
(208) 233-9205
(208) 234-3660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 191
ID
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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