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Individual

HOWARD EVANS WEIGHTMAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
943 CESERY BLVD, STE G, JACKSONVILLE, FL 32211
(904) 745-0067
Mailing address
5751 DICKSON RD, JACKSONVILLE, FL 32211
(904) 418-4019

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH21609
FL
101Y00000X
Counselor
Primary

Other

Enumeration date
08/07/2017
Last updated
09/17/2024
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