| Tina E Waters Lcsw Llc | |
|
131 W High St Somerville NJ 08876-2108 | |
| (908) 203-9054 | |
| Not Available |
| Full Name | Tina E Waters Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 131 W High St, Somerville, New Jersey |
| Authorized Official Name and Position | Tina E Waters (SOLE PROPRIETOR) |
| Authorized Official Contact | 9082039054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina E Waters Lcsw Llc 131 W High St Somerville NJ 08876-2108 Ph: (908) 203-9054 | Tina E Waters Lcsw Llc 131 W High St Somerville NJ 08876-2108 Ph: (908) 203-9054 |
| NPI Number | 1457478877 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457478877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04573900 (New Jersey) | Primary |
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