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NPI Code Detail

MEDICARE: MS. CYNTHIA LOUISE WATSON LSCSW

MEDICARE: MS. CYNTHIA LOUISE WATSON LSCSW
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 Worker3901KS
21041C0700XClinical Social Worker2009030454MO

General Provider Information

NPI Number : 1255530861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA LOUISE WATSON LSCSW
Provider Business Mailing Address
First Line : 4044 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2228
Country : US
Telephone Number : 913-791-2664
Fax Number :
Provider Business Practice Location Address
First Line : 4044 CENTRAL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2228
Country : US
Telephone Number : 913-791-2664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2007
Last Update Date : 09/13/2012

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