Individual
ALVIN F WATSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N FANT ST, SUITE D, ANDERSON, SC 29621-5720
(864) 226-1166
(864) 226-5647
Mailing address
400 N FANT ST, SUITE D, ANDERSON, SC 29621-5720
(864) 226-1166
(864) 226-5647
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3808
SC
1041C0700X
Clinical Social Worker
Primary
3808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-0881025
TAX ID
—
Enumeration date
06/13/2007
Last updated
05/03/2022
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