Individual
JEFFERY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9600 VETERANS DRIVE, LAKEWOOD, WA 98493
(773) 458-3805
Mailing address
12032 21ST AVE SW, BURIEN, WA 98146-2544
(773) 458-3805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60235133
WA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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