Watters, Colleen Fassett

Watters, Colleen Fassett is an individual health care provider with primary practice located at 9455 W Watertown Plank Rd , Milwaukee WI 53226-3559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Watters, Colleen Fassett can be contacted via phone (414) 257-7222.

Contact Information

Primary practice address
9455 W Watertown Plank Rd Milwaukee WI 53226-3559
Phone: (414) 257-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7047-123 Wisconsin

Profile Details

NPI number 1760658223
LBN Legal business name Watters, Colleen Fassett
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760658223 NPPES
Wisconsin Other 7047-123 LCSW

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