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1215588918
RANDY STEVEN WEAVER
SALT LAKE CITY, UT
NPI
1215588918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 136474-3501)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
Mr. RANDY STEVEN WEAVER LCSW
4055 S 700 E STE 202
SALT LAKE CITY, UT 84107-2504
Phone number: 801-209-5134
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Mailing Address
Mr. RANDY STEVEN WEAVER LCSW
4055 S 700 E STE 202
SALT LAKE CITY, UT 84107-2504
Phone number: 801-209-5134
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