Individual
CHERYL WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20340 NW 29TH CT, MIAMI GARDENS, FL 33056-1903
(305) 305-2326
Mailing address
20340 NW 29TH CT, MIAMI GARDENS, FL 33056-1903
(305) 305-2326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 13403
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW 13403
DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
04/06/2017
Last updated
11/15/2018
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