Individual
MISS ANNA RUTH WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
3280 BLAZER PKWY STE 101, LEXINGTON, KY 40509-2796
(859) 225-5424
Mailing address
4804 PLEASANT LAWN WAY, LEXINGTON, KY 40515-1268
(859) 473-1655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
277639
KY
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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