Individual
MR. J KARLTON WEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2753
(814) 860-2729
Mailing address
915 MANCHESTER RD, FAIRVIEW, PA 16415-1703
(814) 838-6767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW001127E
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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