Provider Information for 1346862331
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TAKIESHA N WATSON LPC
Sex: Female
NPI: 1346862331
Last Updated: 2020-05-12
Certification Date: 2020-05-12
Certification Date: 2020-05-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1346862331 | ||||||||
| Enumeration Date | 2020-05-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2916 LINDSEY DR COPPERAS COVE, TX 76522-7524 United States Phone: 254-554-1976 | Fax: | ||||||||
| Primary Practice Address | 2916 LINDSEY DR COPPERAS COVE, TX 76522-7524 United States Phone: 254-554-2976 | Fax: | ||||||||
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