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Individual

COREY D WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
756 PURPLE SAGE RD, BANDERA, TX 78003-3981
(309) 781-7519
Mailing address
COREY.WEBER@WARRIORSHEART.COM, 198 COUNTY ROAD 2733, MICO, TX 78056
(309) 781-7519

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11601
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11601
RTC
Enumeration date
11/02/2020
Last updated
11/02/2020
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