Individual
DEJA M WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 IMPERIAL CT, VANDALIA, OH 45377-2043
(937) 461-4300
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(937) 461-4300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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