NPI 1003382979

Saran Charisse Watts

Practitioner Case Manager/Care Coordinator Southgate, MI

Practice location

Address: 31101 Allen Rd Building 5, Southgate, MI 48195
Phone: (616) 818-6639
Mailing address: 31160 Wildwood St APT 5210, Wixom, MI 48393-2628

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003382979
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2018
Record last updated: 18 Sep 2019

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.