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Individual

DWIGHT EDMOND WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHP

Contact information

Practice address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(504) 821-0053
(504) 821-0054
Mailing address
1608 S SALCEDO ST, NEW ORLEANS, LA 70125-2854
(504) 821-0053
(504) 821-0054

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
004201075
LA

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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