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Individual

LAVINA MILLER WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.C.C.

Contact information

Practice address
10470 WINESBURG RD, DUNDEE, OH 44624-9442
(330) 359-6100
(330) 319-7381
Mailing address
PO BOX 265, 10470 WINESBURG ROAD, MOUNT EATON, OH 44659-0265
(330) 359-6100
(330) 319-7381

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0003909
OH

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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