KEVIN WEAVER

RUSTON, LA
NPI1376073189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-14
Last Update Date2022-07-21
Business Address
KEVIN WEAVER
775 SOUTH BONNER STREET
RUSTON, LA 71270
Phone number: 318-254-7050
Mailing Address
KEVIN WEAVER
775 S BONNER ST
RUSTON, LA 71270-5801
Phone number: 318-254-7050
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