Individual
DOUGLAS GARWOOD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 S MAIN ST, HARRODSBURG, KY 40330-1633
(859) 733-9241
Mailing address
PO BOX 363, HARRODSBURG, KY 40330-0363
(859) 733-9241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253449
KY
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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