Individual
MR. PATRICK J. WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1727 WRIGHTSBORO RD STE B, AUGUSTA, GA 30904-4074
(706) 736-8170
(706) 736-8184
Mailing address
1727 WRIGHTSBORO RD, SUITE B, AUGUSTA, GA 30904
(706) 736-8170
(706) 736-8184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001501
GA
Other
Enumeration date
10/17/2006
Last updated
09/19/2008
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