Provider Information for 1336472026
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Ms. VANESSA M POTIER WATTS LCSW
Other Names:Former Name:VANESSA WATTSSex: Female
NPI: 1336472026
Last Updated: 2009-09-12
Certification Date:
Certification Date:
Details
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NPI | 1336472026 | ||||||||
Enumeration Date | 2009-09-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 3104 O ST # 189 SACRAMENTO, CA 95816-6519 United States Phone: 916-405-3499 | Fax: | ||||||||
Primary Practice Address | 9093 ELK GROVE BLVD SUITE #206 ELK GROVE, CA 95624-2047 United States Phone: 916-405-3499 | Fax: | ||||||||
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