Individual
BRENDA LOURDES BUSTOS DE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1609 COUNTY ROAD 42 W STE 309, BURNSVILLE, MN 55306-6213
(918) 896-3604
Mailing address
1609 COUNTY ROAD 42 W STE 309, BURNSVILLE, MN 55306-6213
(918) 896-3604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35102
MN
Other
Enumeration date
05/31/2011
Last updated
11/10/2025
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