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Individual

MRS. JILL MERRIE WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 783-2600
(480) 496-9036
Mailing address
16819 S 12TH WAY, PHOENIX, AZ 85048-4753
(480) 783-2600

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0518
AZ

Other

Enumeration date
02/03/2008
Last updated
02/03/2008
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