Timothy W Watkins, LCSW

NPI #1194033100 in Santo Domingo Pueblo, New Mexico

Provider Information

NPI Number: 1194033100
Entity Type: Individual
Name: Timothy W Watkins, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Sep 24, 2010
Last Updated: Jan 17, 2019

Practice Location

Address: 18 EAGLE ST
City: Santo Domingo Pueblo
State: New Mexico
ZIP Code: 87052-8705
Phone: (505) 465-2733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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