Individual
MS. BETHANY BROOKE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2304 NW 43RD ST, LAWTON, OK 73505-1712
(580) 483-4100
Mailing address
2304 NW 43RD ST, LAWTON, OK 73505-1712
(580) 483-4100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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