Stacie F Waters

NPI #1033481767 in Espanola, New Mexico

Provider Information

NPI Number: 1033481767
Entity Type: Individual
Name: Stacie F Waters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 1302 CALLE DE LA MERCED
City: Espanola
State: New Mexico
ZIP Code: 87532-2624
Phone: (505) 747-0081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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