Individual
ANDREW WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5138 N CLARK ST, 2ND FLOOR, CHICAGO, IL 60640-2828
(773) 612-1342
Mailing address
1321 W ARDMORE AVE, APT. #1W, CHICAGO, IL 60660-3465
(773) 612-1342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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