Individual
MARY L WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
106 N SHERIDAN AVE, INDIANAPOLIS, IN 46219-6124
(317) 357-5525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33003390A
IN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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