Individual
MS. JORDAN DAWN WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
42 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
(740) 851-5381
Mailing address
42 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
(740) 851-5381
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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