Lyvon Watt

NPI 1720475486 - Social Worker - 1041C0700X

NPI Details
NPI 1720475486
Gender Female
Enumeration Date 04/21/2015
Last Updated 02/10/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
708 W MAIN ST
SUITE A
BLOOMFIELD IN, 47424-1179, US
Phone (812) 384-3508
Fax (812) 384-3083
Business Location
1210 N 1000 W
LINTON IN, 47441-5013, US
Phone (812) 699-4153
Fax (812) 847-5305
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34000548A
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According to our database, Lyvon Watt NPI is 1720475486, taxonomy code is 1041C0700X and license number is 34000548A, license state is located at Indiana. Lyvon Watt physically located at 708 W Main St, Bloomfield IN, 47424-1179. NPI Number Lyvon Watt has the Individual type.

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1720475486 NPI number is provided on an as is basis without warranty of any kind. 1720475486 is maintained by the National Plan & Provider Enumeration System. The contents of Lyvon Watt are for informational purposes only.