Individual
LAUREN REBEKAH GRAY WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2578 BROADWAY # 607, NEW YORK, NY 10025-5642
(222) 222-2222
Mailing address
5301 WALSH ST, SAINT LOUIS, MO 63109-3225
(222) 222-2222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/03/2022
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