NPI 1205157450

Theresa Watkins

Practitioner Child Mental Illness Respite Care Avondale, AZ

Practice location

Address: 12533 W Monroe St, Avondale, AZ 85323-8006
Phone: (623) 849-3773

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 1537881 (AZ)

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Registry record

NPI: 1205157450
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2010
Record last updated: 22 Jun 2010

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.