Individual
MERRIROSE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 MCKNIGHT ST, LAS VEGAS, NV 89101-8711
(702) 387-1700
Mailing address
640 MCKNIGHT ST, LAS VEGAS, NV 89101-8711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3558217
—
NV
Enumeration date
04/30/2012
Last updated
04/30/2012
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