Malissa Watters's National Provider Identifier (NPI) Details
Malissa Watters, LCSW
NPI: 1285736348
Enumeration Date: 2006-09-01
Last updated: 2014-07-15
Sole Proprietor: NO
Status: active
Postal Address: 866 S MYRTLE AVE, KANKAKEE, IL
Phone: 815-935-0688
Primary Practice Address: 820 S DAMEN AVE, CHICAGO, IL
Practice's phone: 312-569-8387