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Individual

MR. RICHARD CARLTON WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, NCC, CBIS,

Contact information

Practice address
5600 W MAPLE RD STE D401, WEST BLOOMFIELD, MI 48322-3711
(248) 881-0944
(248) 851-7607
Mailing address
5600 W MAPLE RD STE D401, WEST BLOOMFIELD, MI 48322-3711
(248) 881-0944
(248) 851-7607

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012674
MI

Other

Enumeration date
02/09/2014
Last updated
02/09/2014
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