Individual
CARRIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SPED
Contact information
Practice address
8282 WILLETT PKWY, BALDWINSVILLE, NY 13027-1306
(315) 857-0800
Mailing address
8282 WILLETT PKWY, BALDWINSVILLE, NY 13027-1306
(315) 857-0800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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