Individual
LAURA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 CLINTON AVE N, ROCHESTER, NY 14604-1455
(585) 546-7220
(585) 262-7198
Mailing address
87 N. CLINTON AVE, ROCHESTER, NY 14604-1458
(585) 546-7220
(585) 262-7198
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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