Individual
MS. ZELLA LUNA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
US HYW160 S MP 364.3, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Mailing address
PO BOX 3804, SHIPROCK, NM 87420-3804
(505) 860-5882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06802
NM
Other
Enumeration date
05/24/2007
Last updated
07/03/2018
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