Individual
BEVERLY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 UNION ST, LYNN, MA 01901-1311
(508) 521-2200
Mailing address
181 UNION ST, LYNN, MA 01901-1311
(508) 521-2200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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