Individual
MRS. VICKI J WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 67 BOX 5, CANADIAN, OK 74425-9700
(918) 339-5800
(918) 338-5820
Mailing address
RR 5 BOX 152, EUFAULA, OK 74432-9504
(918) 339-5800
(918) 339-5820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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