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Individual

MS. ANNETTE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
100 SLATEWORTH DRIVE, 107, DURHAM, NC 27703
(919) 286-0411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6702
SC

Other

Enumeration date
04/12/2006
Last updated
07/08/2007
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