Individual
AMANDA MORGAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2508 SE 20TH ST, BENTONVILLE, AR 72712-4008
(479) 750-2020
(479) 845-2111
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 845-2111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A0512080
AR
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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