KELLY MIRANDA WATERS

ROCK ISLAND, IL
NPI1093273542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-04
Last Update Date2019-03-04
Business Address
KELLY MIRANDA WATERS
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
Mailing Address
KELLY MIRANDA WATERS
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
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