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1902937451
KATHYE J WATERS
MISHAWAKA, IN
NPI
1902937451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001162A)
Enumeration Date
2007-03-08
Last Update Date
2010-03-19
Business Address
-- KATHYE J WATERS LMHC
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-256-2255
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Mailing Address
-- KATHYE J WATERS LMHC
315 W JEFFERSON BLVD
SOUTH BEND, IN 46601-1512
Phone number: 574-968-9660
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