Individual
MELISSA K WEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
8825 S HOWELL AVE, OAK CREEK, WI 53154-3760
(262) 780-1020
Mailing address
8825 S HOWELL AVE STE 200, OAK CREEK, WI 53154-3760
(414) 215-7554
(414) 215-7644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
130387
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42212600
—
WI
Enumeration date
09/19/2016
Last updated
02/05/2019
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