Individual
MRS. ALISSA MICHELE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43273 335TH AVE, GRIGGSVILLE, IL 62340-2312
(217) 833-2898
(217) 833-2898
Mailing address
43273 335TH AVE, GRIGGSVILLE, IL 62340-2312
(217) 833-2898
(217) 833-2898
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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