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1689890238
IRENE WEAVER
FRESNO, CA
NPI
1689890238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6409)
Enumeration Date
2007-04-18
Last Update Date
2019-09-20
Business Address
IRENE WEAVER
1410 F ST STE 101
FRESNO, CA 93706-1608
Phone number: 559-457-2302
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Mailing Address
IRENE WEAVER
3337 E PONTIAC WAY
FRESNO, CA 93726-4416
Phone number: 559-281-2451
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