Individual
ANYA RYDER WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149.02505
IL
Other
Enumeration date
08/24/2020
Last updated
10/31/2022
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