Individual
BRIAN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8194
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8194
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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