Individual
ALECIA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 374-9575
Mailing address
11647 MACRINUS DR, FLORISSANT, MO 63033-7036
(314) 374-9575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016041853
MO
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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