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1962918250
HENRY KYLE WEAVER
PHILADELPHIA, PA
NPI
1962918250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
HENRY KYLE WEAVER
2514 N BROAD ST
PHILADELPHIA, PA 19132-4013
Phone number: 215-432-9689
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Mailing Address
HENRY KYLE WEAVER
419 N 67TH ST
PHILADELPHIA, PA 19151-4008
Phone number: 215-432-9689
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