Avery Anise Watson BSW, MSW, LCAS-A

NPI 1467871079 - Counselor - 101Y00000X

NPI Details
NPI 1467871079
Gender Female
Enumeration Date 04/10/2014
Last Updated 04/10/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
2301 RAMA RD
SUIT B
CHARLOTTE NC, 28212-6237, US
Phone (860) 888-6058
Fax (704) 568-3353
Business Location
5307 FIRELIGHT LN UNIT G
CHARLOTTE NC, 28212-2210, US
Phone (860) 888-6058
Fax (704) 563-3353
Toxanomy
Taxonomy Code 101Y00000X
License State North Carolina
License Number 20099
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According to our database, Ms. Avery Anise Watson BSW, MSW, LCAS-A NPI is 1467871079, taxonomy code is 101Y00000X and license number is 20099, license state is located at North Carolina. Avery Anise Watson BSW, MSW, LCAS-A physically located at 2301 Rama Rd, Charlotte NC, 28212-6237. NPI Number Avery Anise Watson BSW, MSW, LCAS-A has the Individual type.

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1467871079 NPI number is provided on an as is basis without warranty of any kind. 1467871079 is maintained by the National Plan & Provider Enumeration System. The contents of Avery Anise Watson BSW, MSW, LCAS-A are for informational purposes only.