Individual
KIARA CHARE DEWEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1349 E STROOP RD, DAYTON, OH 45429-4925
(937) 293-1115
Mailing address
4920 MAPLECREEK DR, APT K, TROTWOOD, OH 45426-1668
(937) 267-1604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S1600234
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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