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1487907168
ELIZABETH WILLIS WATERMAN
GULFPORT, MS
NPI
1487907168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C5949)
Enumeration Date
2012-10-18
Last Update Date
2012-11-21
Business Address
Mrs. ELIZABETH WILLIS WATERMAN LCSW
12236 ASHLEY DR SUITE B
GULFPORT, MS 39503-2759
Phone number: 228-539-2205
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Mailing Address
Mrs. ELIZABETH WILLIS WATERMAN LCSW
12236 ASHLEY DR SUITE B
GULFPORT, MS 39503-2759
Phone number: 228-539-2205
Copy
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