DOUG WEAVER

OGDEN, UT
NPI1699048231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  342872-6006)
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
-- DOUG WEAVER
1140 36TH ST STE 270
OGDEN, UT 84403-2064
Phone number: 801-389-6696
Mailing Address
-- DOUG WEAVER
1140 36TH ST STE 270
OGDEN, UT 84403-2064
Phone number:
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