Individual
KAYLA D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
321 GIFFORD ST, SYRACUSE, NY 13204-3201
(315) 703-2600
Mailing address
321 GIFFORD ST, SYRACUSE, NY 13204-3201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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