Waters, Shannon Marie

Waters, Shannon Marie is an individual health care provider with primary practice located at 503 E 23Rd St S , Independence MO 64055-1502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Waters, Shannon Marie can be contacted via phone (816) 252-8388.

Contact Information

Primary practice address
503 E 23Rd St S Independence MO 64055-1502
Phone: (816) 252-8388
Fax: (816) 252-1337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1093861916
LBN Legal business name Waters, Shannon Marie
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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