Kelly Miranda Waters
NPI #1093273542 in Rock Island, Illinois
Provider Information
- NPI Number
- 1093273542
- Entity Type
- Individual
- Name
- Kelly Miranda Waters
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 4, 2019
- Last Updated
- Mar 4, 2019
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5351
- Phone
- (309) 779-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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