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Individual

GRETCHEN J WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW MFTIT

Contact information

Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(262) 444-8050
Mailing address
4811 S 76TH ST STE 305, MILWAUKEE, WI 53220-4364
(414) 325-7741

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1397-124
WI
106H00000X
Marriage & Family Therapist
659-228
WI
106H00000X
Marriage & Family Therapist
WI
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39-0806174
WI
Enumeration date
11/19/2018
Last updated
10/19/2021
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