Individual
MRS. JESSICA L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
PO BOX 30381, ROCHESTER, NY 14603-0381
(585) 663-4330
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
084606
NY
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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