Individual
MARISSA DIANE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2715 N WYATT DR, TUCSON, AZ 85712-6111
(520) 324-2438
Mailing address
2715 N WYATT DR, TUCSON, AZ 85712-6111
(520) 324-2438
(520) 324-2432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17020
AZ
Other
Enumeration date
08/12/2014
Last updated
01/25/2022
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