Individual
MS. CONNIE SUE WEEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 W MAIN ST, SPARTA, WI 54656
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3340-123
WI
Other
Enumeration date
12/30/2005
Last updated
01/29/2024
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