MALISSA A WATTERS

CHICAGO, IL
NPI1285736348
Former NameMALISSA A KEPNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149011020)
Enumeration Date2006-09-01
Last Update Date2014-07-15
Business Address
-- MALISSA A WATTERS LCSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
-- MALISSA A WATTERS LCSW
866 S MYRTLE AVE
KANKAKEE, IL 60901-5454
Phone number: 815-935-0688
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