Individual
SAMUEL J WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2620 STEIN BLVD STE B, EAU CLAIRE, WI 54701-2674
(715) 458-2575
Mailing address
N50796 COUNTY ROAD O, OSSEO, WI 54758-6601
(715) 864-0674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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