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Individual
JAMIE LYNN WEEDER
Active
Individual
JAMIE LYNN WEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121776
MI
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16812000
CAQH
MI
Enumeration date
09/26/2024
Last updated
07/23/2026
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