Individual
MRS. AMY M WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
409 E PARK ST, BENTON, IL 62812-1920
(618) 439-7231
Mailing address
501 N MCLEANSBORO ST, BENTON, IL 62812-2726
(618) 218-2104
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1796140
IL
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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