Individual
DEBRA SUE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 MEADOW DR, HOUSE SPRINGS, MO 63051-1417
(314) 471-3483
Mailing address
3705 MEADOW DR, HOUSE SPRINGS, MO 63051-1417
(131) 447-1348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017031331
MO
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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