THEODORE ANTHONY WATSON

OMAHA, NE
NPI1104981968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  150)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
-- THEODORE ANTHONY WATSON LADC
1941 S 42ND ST STE 540
OMAHA, NE 68105-2939
Phone number: 402-558-2034
Mailing Address
-- THEODORE ANTHONY WATSON LADC
1941 S 42ND ST STE 540
OMAHA, NE 68105-2939
Phone number: 402-558-2034
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