Individual
ERIC WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW PHD
Contact information
Practice address
11501 N PORT WASHINGTON RD, SUITE 202, MEQUON, WI 53092-3465
(262) 241-7778
(262) 241-1012
Mailing address
11501 N PORT WASHINGTON RD, SUITE 202, MEQUON, WI 53092-3465
(262) 241-7778
(262) 241-1012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3298-123
WI
106H00000X
Marriage & Family Therapist
143-124
WI
Other
Enumeration date
04/03/2007
Last updated
12/15/2008
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