Provider Information for 1730638503
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Mrs. CHRISTY L WATSON LCSW
Sex: Female
NPI: 1730638503
Last Updated: 2024-01-29
Certification Date: 2024-01-29
Certification Date: 2024-01-29
Details
Name | Value | ||||||||||||
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NPI | 1730638503 | ||||||||||||
Enumeration Date | 2016-09-22 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 14 SOUTHWIND BLVD SEARCY, AR 72143-8523 United States Phone: 501-231-0655 | Fax: | ||||||||||||
Primary Practice Address | 305 ROGERS SEARCY, AR 72143-7432 United States Phone: 501-203-0857 | Fax:501-203-0864 | ||||||||||||
Secondary Practice Address(es) | 6701 HIGHWAY 67 11700 KANIS RD 14 SOUTHWIND BLVD | ||||||||||||
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