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Individual

CARRIE WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17553 WHITE MARBLE DR, MONUMENT, CO 80132-7444
(719) 495-3910
Mailing address
17553 WHITE MARBLE DR, MONUMENT, CO 80132-7444

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01120482
MD

Other

Enumeration date
07/27/2011
Last updated
07/27/2011
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