Dominique Watson
NPI #1154837565 in Park Forest, Illinois
Provider Information
- NPI Number
- 1154837565
- Entity Type
- Individual
- Name
- Dominique Watson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Dec 20, 2017
- Last Updated
- Dec 20, 2017
Practice Location
- Address
- 104 HEMLOCK ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2157
- Phone
- (630) 696-7273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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