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Individual

THERESA MARIE WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1616 E. WOOSTER STREET, BOWLING GREEN, OH 43402-3466
(419) 352-4624
Mailing address
1616 E. WOOSTER STREET, BOX 24, BOWLING GREEN, OH 43402-3466
(419) 352-4624

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1000265
OH

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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