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Individual
MISTY WEAVER
Active
Individual
MISTY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CMHT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2368
MS
101YP2500X
Professional Counselor
Primary
2113
MS
Other
Enumeration date
08/02/2010
Last updated
08/25/2016
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