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1164057931
DOMINIC WATSON
DELAND, FL
NPI
1164057931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-03-11
Last Update Date
2020-03-18
Business Address
DOMINIC WATSON
604 W UNIVERSITY AVE
DELAND, FL 32720-3247
Phone number: 352-642-3251
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Mailing Address
DOMINIC WATSON
604 W UNIVERSITY AVE
DELAND, FL 32720-3247
Phone number: 352-642-3251
Copy
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