Individual
CODY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HARDING HWY, PITTSGROVE, NJ 08318-4401
(856) 358-4111
Mailing address
269 CHICAGAMI TRL, MEDFORD LAKES, NJ 08055-2137
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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