Individual
MRS. LARA MADALYN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
1870 50TH ST E STE 7, INVER GROVE HEIGHTS, MN 55077-1270
(651) 318-0334
Mailing address
1870 50TH ST E STE 7, INVER GROVE HEIGHTS, MN 55077-1270
(651) 318-0334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140946
PA
1041S0200X
School Social Worker
SW140946
PA
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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