Individual
LAURA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S ELM ST, ZIONSVILLE, IN 46077-1601
(317) 966-2900
Mailing address
7375 RED MAPLE DR, ZIONSVILLE, IN 46077-7760
(317) 966-2900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39003605A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39003605A
BEHAVIORAL BOARD OF HEALTH
IN
Enumeration date
01/06/2020
Last updated
01/06/2020
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