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Individual
MS. KYLEAN WEAVER
Active
Individual
MS. KYLEAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
171M00000X
CA
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
02/02/2007
Last updated
01/14/2026
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