Individual
JOHN D WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4635 HILLVIEW DR, NAZARETH, PA 18064-8531
(610) 614-1860
(610) 614-1860
Mailing address
4635 HILLVIEW DR, NAZARETH, PA 18064-8531
(610) 614-1860
(610) 614-1860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000169L
PA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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