Individual
JACIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 398-8197
Mailing address
101 W CENTER ST, HARRINGTON, DE 19952-1050
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
245206
DE
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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