Individual
MRS. SARA MARIE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 NEW GLENDALE RD, ELIZABETHTOWN, KY 42701-1023
(270) 769-1601
(270) 982-0829
Mailing address
3131 FAIRGROUNDS RD, BRANDENBURG, KY 40108-9741
(270) 668-8349
(270) 982-0829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000076961
KY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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