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Individual

KERRI ANN WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
4230 HAMILTON BLVD, SIOUX CITY, IA 51104-1137
(712) 239-4300
Mailing address
200 GOLD CIR STE 120, DAKOTA DUNES, SD 57049-5501
(605) 217-0700
(605) 217-0701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04504
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074617
IA
Enumeration date
01/31/2013
Last updated
02/27/2026
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