Individual
ALYSSA RENEE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 CORPORATE DR, TROY, MI 48098-2614
(248) 858-1210
Mailing address
5505 CORPORATE DR, TROY, MI 48098-2614
(248) 858-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115922
MI
Other
Enumeration date
12/10/2025
Last updated
12/15/2025
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