MS. Tracy Waters, MSW, LCSW

NPI #1487723607 in Forest Grove, Oregon

Provider Information

NPI Number
1487723607
Entity Type
Individual
Name
MS. Tracy Waters, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
Nov 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2036 MAIN ST
Address 2
SUITE 204
State
Oregon
ZIP Code
97116-2374
Phone
(503) 359-1515

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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