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Individual
TAMMY WEAVER
Active
Individual
TAMMY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP L
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004742L
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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