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Individual

LAWRENCE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419
Mailing address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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Product
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