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1376996330
KIM WEAVER
BERKELEY, CA
NPI
1376996330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 942832154)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- KIM WEAVER
2975 SACRAMENTO ST
BERKELEY, CA 94702-2534
Phone number: 510-644-0200
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Mailing Address
-- KIM WEAVER
2975 SACRAMENTO ST
BERKELEY, CA 94702-2534
Phone number: 510-644-0200
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