Individual
AMY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4273 CORPORATE DR, MT PLEASANT, MI 48858-5321
(989) 953-4357
Mailing address
4273 CORPORATE DR, MT PLEASANT, MI 48858-5321
(989) 953-4357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0369
INDIVIDUAL
MI
01
—
4610
AMY WEAVER
MI
Enumeration date
11/23/2021
Last updated
11/23/2021
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