MR. Randall Paul Weaver, MSW LCSW 3920

NPI #1689687733 in Rogersville, Tennessee

Provider Information

NPI Number: 1689687733
Entity Type: Individual
Name: MR. Randall Paul Weaver, MSW LCSW 3920
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW LCSW 3920
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 LENA DRIVE
Address 2: HAWKINS CN MENTAL HEALTH CTR
City: Rogersville
State: Tennessee
ZIP Code: 37857
Phone: (423) 272-9239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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