Individual
ANNA L WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7562
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3018-154
WI
Other
Enumeration date
03/31/2011
Last updated
01/03/2015
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