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NPI Code Detail

MEDICARE: KATLYN WATSON LLMSW

MEDICARE: KATLYN WATSON LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1922600584
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN WATSON LLMSW
Provider Business Mailing Address
First Line : 411 S WEST ST
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2543
Country : US
Telephone Number : 517-214-1733
Fax Number :
Provider Business Practice Location Address
First Line : 411 S WEST ST
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-2543
Country : US
Telephone Number : 517-214-1733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 11/09/2020

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Directions to “ KATLYN WATSON LLMSW” Practice Location

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