Watt Osage, LCSW Valid NPI
Individual provider · Clinical Social Worker · Muskogee, OK
- NPI
- 1073738100
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 3803 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-04-16
- Last updated
- 2012-10-05
Practice location
1700 W Broadway St
Muskogee, OK 74401-3340
(918) 681-4201