Larry Dan Watson MSSW

NPI 1124227814 - Social Worker - 1041C0700X

NPI Details
NPI 1124227814
Gender Male
Enumeration Date 07/13/2007
Last Updated 07/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
604 GWYNDELLONS LN
GRAND PRAIRIE TX, 75052-3614, US
Phone (972) 740-5422
Fax
Business Location
604 GWYNDELLONS LN
GRAND PRAIRIE TX, 75052-3614, US
Phone (972) 740-5422
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 04245
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According to our database, Mr. Larry Dan Watson MSSW NPI is 1124227814, taxonomy code is 1041C0700X and license number is 04245, license state is located at Texas. Larry Dan Watson MSSW physically located at 604 Gwyndellons Ln, Grand Prairie TX, 75052-3614. NPI Number Larry Dan Watson MSSW has the Individual type.

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1124227814 NPI number is provided on an as is basis without warranty of any kind. 1124227814 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Dan Watson MSSW are for informational purposes only.