Individual
MS. MAXINE PATTON-WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(219) 644-6551
Mailing address
1544 W 93RD CT, CROWN POINT, IN 46307-1881
(219) 644-6551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004418A
IN
1041S0200X
School Social Worker
1301289
IN
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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