Individual
SUSAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 881-5508
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 881-5508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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