Individual
HEATHER WATERWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW-S
Contact information
Practice address
2021 GUADALUPE ST, AUSTIN, TX 78705-5654
(646) 941-7645
Mailing address
12007 BLOOMINGTON LN, MEADOWS PLACE, TX 77477-1819
(832) 524-4255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62182
TX
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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