Individual
MS. CARRIE WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7680
Mailing address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
082126
NY
1041C0700X
Clinical Social Worker
Primary
089360
NY
Other
Enumeration date
06/24/2014
Last updated
06/17/2020
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