Individual
MRS. KRISTIN R WATERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 HICKORY POINT FRONTAGE RD STE 5, DECATUR, IL 62526-9773
(217) 886-4182
Mailing address
5130 HICKORY POINT FRONTAGE RD STE 5, DECATUR, IL 62526-9773
(217) 886-4182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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