Individual
CARLEIGH DAVIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
219 S EAST ST, RALEIGH, NC 27601-2369
(984) 788-6570
Mailing address
5420 JESSICA BLVD UNIT 201, RALEIGH, NC 27607-4266
(984) 788-6570
(844) 861-1194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
Enumeration date
06/19/2019
Last updated
02/16/2023
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