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1821578709
LAURA SUZANNE WEAVER
WACO, TX
NPI
1821578709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14728)
Enumeration Date
2018-08-20
Last Update Date
2021-04-07
Business Address
LAURA SUZANNE WEAVER LCDC-I
110 S 12TH ST
WACO, TX 76701-1810
Phone number: 254-752-3451
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Mailing Address
LAURA SUZANNE WEAVER LCDC-I
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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