Individual
MARY ANNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1215 E TRUMAN RD, DEPARTMENT OF EXCEPTIONAL EDUCATION, KANSAS CITY, MO 64106-3152
(816) 418-8624
(816) 418-5239
Mailing address
2016 NE TUDOR RD, LEES SUMMIT, MO 64086-5356
(816) 418-8624
(816) 418-5239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0477426
MO
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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