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Individual

ELIZABETH JULIETTE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 239-2328
(386) 239-2329
Mailing address
2076 OAK MEADOW CIR, SOUTH DAYTONA, FL 32119-8821
(386) 679-1602
(386) 239-2328

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11515
FL

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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