Individual
MS. KATHRYN JO WEAVER
Active
Individual
MS. KATHRYN JO WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW & LAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-305
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-579
WY
Other
Enumeration date
04/13/2010
Last updated
08/22/2016
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