Individual
ANGELA MARIE WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2122 TROY RD STE 120, EDWARDSVILLE, IL 62025-2540
(618) 800-4620
Mailing address
2122 TROY RD STE 120, EDWARDSVILLE, IL 62025-2540
(618) 800-4620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11936
FL
Other
Enumeration date
06/13/2012
Last updated
04/24/2023
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