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Individual

DAVID P WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2365 EDISON BLVD, TWINSBURG, OH 44087-2388
(234) 212-6400
Mailing address
151 WOODBURY GLEN ST, HARTVILLE, OH 44632-8317
(480) 440-4294

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700437-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I.1700437-SUPV
COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
12/27/2021
Last updated
01/28/2022
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