Individual
DENNIS CLARK WEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW,LCSW, CEAP
Contact information
Practice address
W67N222 EVERGREEN BLVD STE 111, CEDARBURG, WI 53012-2650
(262) 375-9222
(262) 375-9005
Mailing address
W67N222 EVERGREEN BLVD STE 111, CEDARBURG, WI 53012-2650
(262) 375-9225
(262) 375-9005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
432-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39590200
—
WI
Enumeration date
04/11/2007
Last updated
05/31/2024
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