Search › Missouri › 1041C0700X
Shanda Watson, LCSW
NPI 1306130372 · on the registry since 2011 · sole proprietor
Practice
- Address
- 310 E Main St
Cole Camp, MO 65325 - Phone
- (660) 668-0155
- Fax
- (660) 668-0156
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 103K00000X
104100000X
1041S0200X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri