Individual
JAMIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
20 CRAIGTOWN RD STE 102, PORT DEPOSIT, MD 21904-1801
(410) 642-9172
Mailing address
503 E MAPLE HEIGHTS CT, RISING SUN, MD 21911-1899
(443) 993-1579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28929
MD
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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