RANDY STEVEN WEAVER

SALT LAKE CITY, UT
NPI1215588918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  136474-3501)
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
Mr. RANDY STEVEN WEAVER LCSW
4055 S 700 E STE 202
SALT LAKE CITY, UT 84107-2504
Phone number: 801-209-5134
Mailing Address
Mr. RANDY STEVEN WEAVER LCSW
4055 S 700 E STE 202
SALT LAKE CITY, UT 84107-2504
Phone number: 801-209-5134