Watt Osage LCSW

NPI 1073738100 - Social Worker - 1041C0700X

NPI Details
NPI 1073738100
Gender Male
Enumeration Date 04/16/2007
Last Updated 10/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1700 W BROADWAY ST
MUSKOGEE OK, 74401-3340, US
Phone (918) 681-4201
Fax
Business Location
PO BOX 77
WELLING OK, 74471-0077, US
Phone (918) 431-9976
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Oklahoma
License Number 3803
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According to our database, Watt Osage LCSW NPI is 1073738100, taxonomy code is 1041C0700X and license number is 3803, license state is located at Oklahoma. Watt Osage LCSW physically located at 1700 W Broadway St, Muskogee OK, 74401-3340. NPI Number Watt Osage LCSW has the Individual type.

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1073738100 NPI number is provided on an as is basis without warranty of any kind. 1073738100 is maintained by the National Plan & Provider Enumeration System. The contents of Watt Osage LCSW are for informational purposes only.