Individual
KAREN S WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1321 S JACKSON ST, SALEM, IN 47167-9730
(812) 883-3095
(812) 883-4405
Mailing address
1321 S JACKSON ST, SALEM, IN 47167-9730
(812) 883-3095
(812) 883-4405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
34002457A
IN
101YM0800X
Mental Health Counselor
34002457A
IN
1041C0700X
Clinical Social Worker
Primary
34002457A
IN
Other
Enumeration date
06/16/2006
Last updated
02/19/2008
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