Individual
SHANNON FAYE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 T ST NE, WASHINGTON, DC 20002-1519
(202) 724-4223
Mailing address
200 RHODE ISLAND AVE NE APT 126A, WASHINGTON, DC 20002-6806
(830) 387-8881
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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