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1891020004
TIMOTHY L WEAVER
RIVERVIEW, FL
NPI
1891020004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 9939)
Enumeration Date
2009-10-05
Last Update Date
2014-01-16
Business Address
MR. TIMOTHY L WEAVER L.M.H.C.
11736 NEWBERRY GROVE LOOP
RIVERVIEW, FL 33579-3902
Phone number: 908-415-0632
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Mailing Address
MR. TIMOTHY L WEAVER L.M.H.C.
11736 NEWBERRY GROVE LOOP
RIVERVIEW, FL 33579-3902
Phone number: 908-415-0632
Copy
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