Individual
MRS. PEGGY LYNN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
79 EAST MAIN STREET, SUITE 400, WESTMINSTER, MD 21157
(410) 552-0773
(410) 552-0774
Mailing address
1425 LIBERTY RD, SUITE 208, ELDERSBURG, MD 21784-6420
(410) 552-0773
(410) 552-0774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02813
MD
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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