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Individual

MARCIE WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
9312 NEW LA GRANGE RD, LOUISVILLE, KY 40242-3619
(502) 208-7050
Mailing address
9312 NEW LA GRANGE RD, LOUISVILLE, KY 40242-3619
(502) 208-7050

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
275546
KY

Other

Enumeration date
01/30/2018
Last updated
07/09/2025
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