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Individual

JULIE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5312 JAGUAR DR, SANTA FE, NM 87507-1827
(505) 820-0262
Mailing address
724 POSTAL SERVICE LOOP # 1025, BLDG 1108, 2ND FLOOR, JBER, AK 99505-5001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08011
NM

Other

Enumeration date
04/29/2008
Last updated
08/13/2015
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