Individual
ELLEN LOUISE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST, LCSW
Contact information
Practice address
37 GREENHEDGE CIR, DELAWARE, OH 43015-1317
(740) 417-9779
Mailing address
37 GREENHEDGE CIR, DELAWARE, OH 43015-1317
(740) 417-9779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1000086
OH
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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