Individual
MRS. KATEY DENISE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
222 MARION AVE, MANSFIELD, OH 44903-2138
(567) 560-3582
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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