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Individual
MS. LORI WEAVER
Active
Individual
MS. LORI WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
SW131586
PA
1041C0700X
Clinical Social Worker
Primary
CW020150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103743067
—
PA
01
—
12708293
CAQH
—
01
—
CW020150
STATE LICENSE
PA
Enumeration date
07/07/2014
Last updated
10/17/2022
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