Individual
MR. ROY GLENN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 UNIVERSITY AVE, FAIRBANKS, AK 99709-3643
(907) 479-9459
(907) 479-4311
Mailing address
PO BOX 85129, FAIRBANKS, AK 99708-5129
(907) 479-9459
(907) 479-4311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
161
AK
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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