Provider Information for 1659098689
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Mrs. BRANDY TOYAI WATTS LPC
Sex: Female
NPI: 1659098689
Last Updated: 2022-10-20
Certification Date: 2022-10-20
Certification Date: 2022-10-20
Details
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NPI | 1659098689 | ||||||||
Enumeration Date | 2022-10-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 2952 WOOD LAKE TRL GRAND PRAIRIE, TX 75054-5506 United States Phone: 972-951-2628 | Fax: | ||||||||
Primary Practice Address | 2952 WOOD LAKE TRL GRAND PRAIRIE, TX 75054-5506 United States Phone: 972-951-2628 | Fax: | ||||||||
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