Individual
MEGAN ELIZABETH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 482-9125
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34008771A
IN
Other
Enumeration date
06/30/2017
Last updated
03/09/2021
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