Most Relevant Information
Provider Data
| NPI Number: | 1003325077 |
| Provider Name: | CARRIE ANN WATSON LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.1700576 |
Most Important Dates
| Enumeration Date: | 09/22/2017 |
| Last Updated: | 09/22/2017 |
Provider Practice Location
206 PARADISE DR
ELYRIA
OH
440358960
Practice Location Phone/Fax
| Phone: | 4404200154 |
| Fax: |
Provider Mailing Location
206 PARADISE DR
ELYRIA
OH
440358960
Provider Mailing Phone/Fax
| Phone: | 4404200154 |
| Fax: |