Joanne Waters LCSW

NPI 1356561310 - Social Worker - 1041C0700X

NPI Details
NPI 1356561310
Gender Female
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
296 N MAIN ST STE 1
SAYVILLE NY, 11782-2515, US
Phone (631) 786-9361
Fax (631) 581-5467
Business Location
49 DIXIE LN
EAST ISLIP NY, 11730-2615, US
Phone (631) 650-1628
Fax (631) 581-5467
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R056614
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According to our database, Mrs. Joanne Waters LCSW NPI is 1356561310, taxonomy code is 1041C0700X and license number is R056614, license state is located at New York. Joanne Waters LCSW physically located at 296 N Main St Ste 1, Sayville NY, 11782-2515. NPI Number Joanne Waters LCSW has the Individual type.

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1356561310 NPI number is provided on an as is basis without warranty of any kind. 1356561310 is maintained by the National Plan & Provider Enumeration System. The contents of Joanne Waters LCSW are for informational purposes only.