Individual
JUSTICE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E MOUNT VERNON ST, SMYRNA, DE 19977-1483
(302) 278-0052
Mailing address
28 E MOUNT VERNON ST, SMYRNA, DE 19977-1483
(302) 278-0052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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