Individual
ALISON BETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 W 109TH ST S, JENKS, OK 74037-1810
(918) 381-3663
Mailing address
3605 W 109TH ST S, JENKS, OK 74037-1810
(918) 381-3663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
02/06/2024
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