Individual
JAMIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 E 44TH ST, KANSAS CITY, MO 64130-2168
(816) 921-0775
Mailing address
4916 W 96TH TER, OVERLAND PARK, KS 66207-3317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006012401
MO
Other
Enumeration date
12/13/2006
Last updated
09/24/2019
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