Individual
KIMNEISHA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 WOODSTOCK RD STE 150, ROSWELL, GA 30075-2208
(404) 990-4240
Mailing address
925 WOODSTOCK RD STE 150, ROSWELL, GA 30075-2208
(404) 990-4240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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