Individual
CASSAUNDRA WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 539-3275
Mailing address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 539-3275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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