RANDALL PAUL WEAVER

ROGERSVILLE, TN
NPI1689687733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: TN  LCSW3920)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
Mr. RANDALL PAUL WEAVER MSW LCSW 3920
101 LENA DRIVE HAWKINS CN MENTAL HEALTH CTR
ROGERSVILLE, TN 37857
Phone number: 423-272-9239
Mailing Address
Mr. RANDALL PAUL WEAVER MSW LCSW 3920
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600