Elisa Weidenbaum Waters, LMSW

NPI #1235725722 in Huntington, New York

Provider Information

NPI Number: 1235725722
Entity Type: Individual
Name: Elisa Weidenbaum Waters, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 17 E CARVER ST
City: Huntington
State: New York
ZIP Code: 11743-3409
Phone: (631) 673-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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