Individual
MRS. DOROTHY LEE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 278-3622
(702) 974-1699
Mailing address
6704 WILLOW RIVER CT, LAS VEGAS, NV 89108-5033
(757) 777-8025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/17/2013
Last updated
08/17/2013
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