Individual
AMANDA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10 W MADISON ST, #11, BALTIMORE, MD 21201-5239
(443) 438-7863
Mailing address
4602 SCHENLEY RD, BALTIMORE, MD 21210-2526
(410) 205-9782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7221
MD
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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