Individual
LAURIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1019 E SPRINGHILL DR STE 1, TERRE HAUTE, IN 47802-4547
(812) 882-0509
(812) 234-7575
Mailing address
1019 E SPRINGHILL DR STE 1, TERRE HAUTE, IN 47802-4547
(812) 882-0509
(812) 234-7575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009055A
IN
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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