Individual
CARLA QUINN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1700 THICKET CV, BELDEN, MS 38826-6008
(662) 617-3772
Mailing address
1700 THICKET CV, BELDEN, MS 38826-6008
(662) 617-3772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3170
MS
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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