Individual
MRS. ALEXIS EMMA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 TYDINGS RD, HAVRE DE GRACE, MD 21078-2433
(443) 903-4452
Mailing address
829 TYDINGS RD, HAVRE DE GRACE, MD 21078-2433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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