Individual
GERALDINE RICHELL WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10050 E KIRSCH RD, SAINT JACOB, IL 62281-2128
(618) 531-1871
Mailing address
10050 E KIRSCH RD, SAINT JACOB, IL 62281-2128
(618) 531-1871
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000885
IL
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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