Individual
MISS DAYNA MALIA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
410 WEST ST., BAINBRIDGE, GA 39819
(229) 243-1633
Mailing address
410 WEST ST., BAINBRIDGE, GA 39819
(229) 243-1633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC001732
GA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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