Individual
COSETTE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827
(517) 663-2761
Mailing address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 999-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095661
MI
Other
Enumeration date
11/02/2018
Last updated
05/08/2019
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