Individual
CYNTHIA LYNN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 GALE ST, AURORA, IL 60506-5084
(630) 897-1003
Mailing address
120 GALE ST, AURORA, IL 60506-5084
(630) 897-1003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31019
IL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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