NPI 1194094268

R Glen Watson, LCSW INC.

Organisation Clinical Social Worker Fairbanks, AK

Practice location

Address: 250 Cushman St Suite 3-E, Fairbanks, AK 99701-4640
Phone: (907) 479-0411

Authorised official

Name: Roy Glen Watson
Title: President
Phone: (907) 479-0411

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 161 (AK)

Other Social Worker providers in Alaska →

Registry record

NPI: 1194094268
Entity type: Organization
NPI issued: 20 Dec 2011
Record last updated: 20 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.