Individual
LYVON WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 A ST NE STE 9, LINTON, IN 47441-1612
(812) 847-7005
(812) 847-5309
Mailing address
1600 A ST NE STE 9, LINTON, IN 47441-1612
(812) 847-7005
(812) 847-5305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000548A
IN
Other
Enumeration date
04/21/2015
Last updated
04/08/2019
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