Individual
MRS. BRIGITTE CORINNE WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
509 N ADELAIDE ST, NORMAL, IL 61761-2422
(309) 452-7468
Mailing address
2621 15TH AVE SO, GREAT FALLS, MT 59405
(406) 455-5902
(406) 455-4147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015124
IL
235Z00000X
Speech-Language Pathologist
2363
—
Other
Enumeration date
08/27/2010
Last updated
12/27/2019
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