Individual
MRS. DOVIE PAULINE WATFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11225 N 28TH DR, SUITE D213, PHOENIX, AZ 85029-5606
(602) 993-4323
(602) 993-0867
Mailing address
19216 N 61ST AVE, GLENDALE, AZ 85308-7683
(623) 825-4650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC0486
AZ
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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