MRS. Kelly Jean Weaver, MED, EDS, LPC
NPI #1063594034 in Lexington, South Carolina
Provider Information
- NPI Number
- 1063594034
- Entity Type
- Individual
- Name
- MRS. Kelly Jean Weaver, MED, EDS, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MED, EDS, LPC
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 224 E MAIN ST
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-3546
- Phone
- (803) 808-5222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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