Lisa Renee Watson

NPI #1447401609 in Shawnee, Oklahoma

Provider Information

NPI Number: 1447401609
Entity Type: Individual
Name: Lisa Renee Watson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 7, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 1010 E 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-2202
Phone: (405) 273-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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