Individual
MICHELLE LEIGH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CSW INTERN
Contact information
Practice address
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103-4138
(702) 623-2485
Mailing address
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103-4138
(702) 623-2485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
10/22/2024
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