Most Relevant Information
Provider Data
| NPI Number: | 1003017740 |
| Provider Name: | CHRISTY A WATERS MHS CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 44SW00345300 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1868 GREENTREE ROAD
CHERRY HILL
NJ
08003
Practice Location Phone/Fax
| Phone: | 8564244408 |
| Fax: |
Provider Mailing Location
177 WILD OAKS DR
SALEM
NJ
080793350
Provider Mailing Phone/Fax
| Phone: | 8568789011 |
| Fax: | 8568789012 |