Individual
KATHERINE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 808-8655
Mailing address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 808-8655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
10/26/2011
Last updated
10/26/2011
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