Individual
ALICIA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4861 LEYLAND LN, CRESTVIEW, FL 32536-6417
(850) 502-7603
Mailing address
4861 LEYLAND LN, CRESTVIEW, FL 32536-6417
(850) 502-7603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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