Individual
MR. IVAN RAY WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
104 HARDIN LN, SOMERSET, KY 42503-3800
(606) 676-0786
(606) 676-9737
Mailing address
1125 LANE ALLEN RD, LEXINGTON, KY 40504-2019
(606) 676-0786
(606) 676-9737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
429
KY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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