Tamara Lyn Weaver, LCSW Valid NPI
Individual provider · Clinical Social Worker · Needles, CA
- NPI
- 1770618407
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 25342 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-22
- Last updated
- 2014-06-11
Practice location
1600 Bailey Ave Ste 2
Needles, CA 92363-3105
(760) 326-9272