Provider Information for 1770361602
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Ms. UNIQUE ROSE KERSEY WATTS M.Ed, LPC
Sex: Female
NPI: 1770361602
Last Updated: 2023-09-21
Certification Date: 2023-09-21
Certification Date: 2023-09-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770361602 | ||||||||
| Enumeration Date | 2023-09-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1808 RIVERVIEW PL JONESBORO, GA 30238-2229 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1808 RIVERVIEW PL JONESBORO, GA 30238-2229 United States Phone: 678-734-7528 | Fax: | ||||||||
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