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Individual

MS. CHRIS THARRINGTON WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
132 BAREFOOT CV, HYPOLUXO, FL 33462-6508
(850) 339-3975
Mailing address
132 BAREFOOT CV, SUITE 1, HYPOLUXO, FL 33462-6508
(850) 339-3975

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 1658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
886392000
FL
Enumeration date
11/18/2006
Last updated
06/24/2011
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