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Individual

DR. JEFF WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
4411 SUWANEE DAM ROAD, STE. 920, SUWANEE, GA 30024-8711
(678) 714-9590
(678) 714-4953
Mailing address
4411 SUWANEE DAM ROAD, STE. 920, SUWANEE, GA 30024-8711
(678) 714-9590
(678) 714-4953

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2094
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00772054E
GA
Enumeration date
02/15/2007
Last updated
07/09/2007
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