Individual
RICHARD L WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
271 WATER ST, AUGUSTA, ME 04330-4615
(207) 621-2304
(207) 621-2471
Mailing address
271 WATER ST, AUGUSTA, ME 04330-4615
(207) 621-2304
(207) 621-2471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1678
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811071681
—
ME
05
—
431728899
—
ME
Enumeration date
10/25/2006
Last updated
10/22/2014
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