R Glen Watson, Lcsw Inc.

NPI 1194094268 - Social Worker - 1041C0700X

NPI Details
NPI 1194094268
Enumeration Date 12/20/2011
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROY GLEN ROY
Position PRESIDENT
Phone (907) 479-0411
Fax
Practice Location
250 CUSHMAN ST
SUITE 3-E
FAIRBANKS AK, 99701-4640, US
Phone (907) 479-0411
Fax
Business Location
250 CUSHMAN ST
SUITE 3-E
FAIRBANKS AK, 99701-4640, US
Phone (907) 479-0411
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Alaska
License Number 161
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According to our database, R Glen Watson, Lcsw Inc. NPI is 1194094268, taxonomy code is 1041C0700X and license number is 161, license state is located at Alaska. R Glen Watson, Lcsw Inc. physically located at 250 Cushman St, Fairbanks AK, 99701-4640. NPI Number 1033115704 has the healthcare provider type.

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1194094268 NPI number is provided on an as is basis without warranty of any kind. 1194094268 is maintained by the National Plan & Provider Enumeration System. The contents of R Glen Watson, Lcsw Inc. are for informational purposes only.