Individual
SAMANTHA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8379 W SUNSET RD STE 140, LAS VEGAS, NV 89113-2248
(979) 324-7388
Mailing address
5409 WELLS CATHEDRAL AVE, LAS VEGAS, NV 89130-7036
(979) 324-7388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11703-C
NV
Other
Enumeration date
10/17/2020
Last updated
09/16/2024
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