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1255819413
SAM WEAVER
ARLINGTON, TX
NPI
1255819413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
SAM WEAVER LCDC
2214 MICHIGAN AVE STE F
ARLINGTON, TX 76013-5952
Phone number: 817-723-1210
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Mailing Address
SAM WEAVER LCDC
2214 MICHIGAN AVE STE F
ARLINGTON, TX 76013-5952
Phone number: 817-723-1210
Copy
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