Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Marie Watson, ETC

Individual provider Contractor · NPI 1396331500

Mallory Marie Watson, ETC is a Contractor in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

5914 Glenway Ave
Cincinnati, OH 45238-2009
Phone: (513) 478-4169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 064574 (OH)

Record details

NPI number1396331500
Entity typeIndividual (Type 1)
GenderFemale
Credentials ETC
Sole proprietorYes
NPI enumeratedDecember 12, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020

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