Individual
MR. DEXTER JAVAIR WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
6815 W CAPITOL DR, SUITE 208, MILWAUKEE, WI 53216-2070
(414) 466-3204
(414) 466-3206
Mailing address
6815 W CAPITOL DR, SUITE 208, MILWAUKEE, WI 53216-2070
(414) 466-3204
(414) 466-3206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WI60000593097
WI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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