Individual
RONDA LYNEE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 809-3316
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 809-3316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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