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General NPI Number Information
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NPI Number | 1639326614
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Entity Type | Organization
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Legal Business Name | WEAVER & ASSOCIATES COUNSELING SERVICES INC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 1221 JENNINGS STATION ROAD
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City | SAINT LOUIS
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State | MO
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Zip | 63137-1215
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Country | US
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Telephone | 314-867-4000
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Fax | 314-867-4900
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Provider Business Mailing Address
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Address Line | 1221 JENNINGS STATION RD
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City | SAINT LOUIS
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State | MO
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Zip | 63137-1215
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Country | US
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Telephone | 314-867-4000
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Fax | 314-867-4900
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SHERMAN WEAVER
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Credential | MSW LCSW ACSW
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Telephone | 314-867-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 000200
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License Number State | MO
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