Individual
NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
240 WATERFALL DR, ELKHART, IN 46516-3668
(717) 406-6038
Mailing address
240 WATERFALL DR, ELKHART, IN 46516-3668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33009511A
IN
Other
Enumeration date
10/03/2018
Last updated
11/06/2022
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