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1912474693
IEISHA WATERMAN
CULLMAN, AL
NPI
1912474693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
IEISHA WATERMAN
1912 COMMERCE AVE
CULLMAN, AL 35055-6150
Phone number: 256-739-5595
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Mailing Address
IEISHA WATERMAN
4180 MEMORIAL PKWY SW APT F
HUNTSVILLE, AL 35802-2077
Phone number: 646-456-1850
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