Individual
MISS MARY CATHERINE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
104 E BIDDLE ST, BALTIMORE, MD 21202-2755
(410) 539-1661
Mailing address
6110 EDMONDSON AVE APT B3, BALTIMORE, MD 21228-1825
(423) 863-6651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8693
MD
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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