Individual
DONNA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
33 GOODWIN AVENUE, MALDEN, MA 02148
(617) 909-9193
Mailing address
33 GOODWIN AVENUE, MALDEN, MA 02148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031953-SW-LICSW
MA
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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