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Organization

WEAVER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN M MARTINAT LMSW (MEMBER)
(208) 731-3789
Entity
Organization

Contact information

Practice address
1611 MAPLE AVE, TWIN FALLS, ID 83301-6644
(208) 731-3789
Mailing address
1611 MAPLE AVE, TWIN FALLS, ID 83301-6644
(208) 731-3789

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8055125
ID
Enumeration date
05/15/2007
Last updated
08/22/2020
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