Individual
KIMBERLY SUE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-LLP
Contact information
Practice address
33180 INDUSTRIAL RD STE 300, LIVONIA, MI 48150-4200
(248) 514-2290
Mailing address
33493 W 14 MILE RD, SUITE 130, FARMINGTON HILLS, MI 48331-1587
(248) 851-5437
(248) 592-1378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008077
MI
Other
Enumeration date
01/23/2008
Last updated
08/20/2021
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