Individual
META A. WEAVER COAXUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
422 MANGUM CT, FAYETTEVILLE, NC 28314-1034
(910) 864-5984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C00000861
NC
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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