Individual
DARYNESHIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
106 BUSINESS PARK AVENUE, DENHAM SPRINGS, LA 70427
(888) 417-5250
Mailing address
106 BUSINESS PARK AVENUE, DENHAM SPRINGS, LA 70427
(888) 417-5250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
14859
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
LA
Enumeration date
06/18/2018
Last updated
12/05/2018
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