Individual
MS. ANNETTE WEATHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408 W 17TH ST, SAN BERNARDINO, CA 92405-4414
(909) 475-1777
(909) 475-1700
Mailing address
PO BOX 26027, SAN BERNARDINO, CA 92406-0727
(909) 475-1777
(909) 475-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21951
CA
Other
Enumeration date
07/17/2006
Last updated
08/16/2010
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