JACK WEAVER

FORT PAYNE, AL
NPI1184055048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AL  C2207A)
Enumeration Date2013-12-03
Last Update Date2013-12-03
Business Address
Mr. JACK WEAVER ALC
521 GAULT AVE N
FORT PAYNE, AL 35967-2307
Phone number: 256-273-7216
Mailing Address
Mr. JACK WEAVER ALC
521 GAULT AVE N
FORT PAYNE, AL 35967-2307
Phone number: 256-273-7216
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