KEITH D WATERS

TAMPA, FL
NPI1942638960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2013-10-30
Last Update Date2015-10-05
Business Address
-- KEITH D WATERS
13101 BRUCE B DOWNS BLVD
TAMPA, FL 33612-3803
Phone number: 813-974-0602
Mailing Address
-- KEITH D WATERS
13101 BRUCE B DOWNS BLVD
TAMPA, FL 33612-3803
Phone number: 813-974-0602