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1740818509
ERIC THOMAS WEAVER
KENTWOOD, MI
NPI
1740818509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401015567)
Enumeration Date
2020-03-29
Last Update Date
2021-08-21
Business Address
Mr. ERIC THOMAS WEAVER LPC
2744 CASTLE BLUFF CT SE
KENTWOOD, MI 49512-8083
Phone number: 330-420-5655
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Mailing Address
Mr. ERIC THOMAS WEAVER LPC
1680 44TH ST SE # 69972
KENTWOOD, MI 49508-5096
Phone number: 330-420-5655
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