Individual
GREGORY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MERCY DR, DUBUQUE, IA 52001-7303
(563) 582-0145
Mailing address
2005 ASBURY RD, DUBUQUE, IA 52001-3042
(563) 583-7357
(888) 243-3455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001110
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497977763
—
IA
Enumeration date
06/03/2009
Last updated
06/03/2009
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