Individual
KERRI PETERSON WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RESERVOIR AVE STE LLO, PROVIDENCE, RI 02907-3595
(401) 467-4325
Mailing address
400 RESERVOIR AVE STE LLO, PROVIDENCE, RI 02907-3595
(401) 467-4325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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