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Individual
JUDITH G. WEAVER
Active
Individual
JUDITH G. WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001562
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005403553
—
VA
05
—
005403561
—
VA
Enumeration date
03/05/2006
Last updated
09/08/2011
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