Individual
CHRISTOPHER PAUL WEATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7333 LINDELL BLVD APT B, UNIVERSITY CITY, MO 63130-4409
(850) 556-1364
Mailing address
7333 LINDELL BLVD APT B, UNIVERSITY CITY, MO 63130-4409
(850) 556-1364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017026991
MO
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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