Individual
MRS. HAILEY BETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
6418 N SANTA FE AVE, SUITE C, OKLAHOMA CITY, OK 73116-9112
(615) 415-0752
Mailing address
6418 N SANTA FE AVE, SUITE C, OKLAHOMA CITY, OK 73116-9112
(615) 415-0752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BHRS
OK
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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