Individual
MR. RICHARD DANA WEAVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW, LSW
Contact information
Practice address
8003 MAPLE GROVE DR, GEORGETOWN, IN 47122-9047
(317) 840-8666
Mailing address
PO BOX 98, GEORGETOWN, IN 47122-0098
(317) 840-8666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252760
KY
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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