Individual
STEPHANIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
286 TICONDEROGA DR, KEARNEYSVILLE, WV 25430-2926
(540) 272-0486
Mailing address
286 TICONDEROGA DR, KEARNEYSVILLE, WV 25430-2926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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