Individual
MR. NEIL ANTHONY WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 S TELEPHONE RD STE 301, MOORE, OK 73160-2547
(405) 912-3495
Mailing address
700 S TELEPHONE RD STE 301, MOORE, OK 73160-2547
(405) 912-3495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6767
OK
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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