Individual
CANDACE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-C
Contact information
Practice address
36410 TALL OAK, WESTLAND, MI 48185-9104
(313) 909-0027
Mailing address
36410 TALL OAK, WESTLAND, MI 48185-9104
(313) 909-0027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095298
MI
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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