Individual
MR. CORY D WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4341
Mailing address
331 SIJEN AVE BLDG 2032, WHITEMAN AFB, MO 65305-1269
(660) 687-7332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015016528
MO
Other
Enumeration date
07/16/2015
Last updated
12/11/2024
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