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Individual

MRS. LISA D WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MC, LAC

Contact information

Practice address
3603 N 7TH AVE, PHOENIX, AZ 85013-3638
(602) 234-1935
(602) 234-0022
Mailing address
26275 N 82ND ST, SCOTTSDALE, AZ 85255-1451
(480) 220-9258

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12128
AZ

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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