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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANDA LEANN WATSON, LCSW

Active Sole Proprietor

MRS. SHANDA LEANN WATSON, LCSW is a Clinical Social Worker healthcare provider located in COLE CAMP, Missouri. NPI 1306130372 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COLE CAMP, MO

Registration Details

NPI Number
1306130372
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2011 (15.1730715127 yrs)
Last Updated
Feb 13, 2012
Licenses
2012003674 (MO)
2012003674 (MO)
2012003674 (MO)
2012003674 (MO)
Sole Proprietor
Yes

Practice Information

Address
310 E MAIN ST
COLE CAMP, MO, 653251240
Browse MO providers · Browse ZIP 65325
Phone
6606680155
Fax
6606680156
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker
Additional Specialty
School Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.