Individual
MS. SUSAN K. WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
501 AIRPORT DR, FARMINGTON, NM 87401-2652
(505) 325-2778
(505) 325-6171
Mailing address
#16 COUNTY ROAD 1499, LA PLATA, NM 87418
(505) 947-8819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M 05726
NM
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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