Individual
MRS. LAUREN M WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DUAL MA
Contact information
Practice address
1 INDIAN WELL CT, HUNTINGTON, NY 11743-5748
(516) 946-8149
Mailing address
1 INDIAN WELL CT, HUNTINGTON, NY 11743-5748
(516) 946-8149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
808325
NY
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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