Individual
MARY ELIZABETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 S DOGWOOD ST, SILOAM SPRINGS, AR 72761-3915
(479) 966-7640
Mailing address
27785 HIGHWAY 62, PROCTOR, OK 74457-3427
(479) 966-7640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2309005
AR
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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