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Individual

DR. CARROL R WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6307 WATERFORD BLVD, SUITE 145, OKLAHOMA CITY, OK 73118-1125
(405) 848-1191
(405) 848-1224
Mailing address
6307 WATERFORD BLVD, SUITE 145, OKLAHOMA CITY, OK 73118-1125
(405) 848-1191
(405) 848-1224

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
541
OK

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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